This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
August 25, 1883.
This case is reported for its rarity, in fact non-precedence, as far as we are able to ascertain.
E. C., age 43, American, county sheriff. Some three years ago this gentleman called upon me for relief from an alleged scrotal hernia of the right side. Examination disclosed the disease as an indurated testicle. He had pain in the right lumbar region, which was attributed to the supposed hernia; this pain had at intervals annoyed him for several years, during which time its true source had escaped detection. Previous to his call upon me he had noticed an enlargement in his right side, which had slowly increased in size, and which, in connection with resulting symptoms, was the occasion of his seeking aid. He was slightly jaundiced, with loss of appetite and tenderness of the hepatic region, the latter much aggravated by turning while in a recumbent position.