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April 23, 1910

The Double Hernial Sac

JAMA. 1910;LIV(17):1390. doi:10.1001/jama.1910.02550430042011

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To the Editor:  —In The Journal (March 26, 1910, liv, 1049) is an article on "Rare Variety of Hernial Sac." Thinking it may be of interest to the readers of The Journal to know how accurately this unusual condition was described at the beginning of the eighteenth century, I give below a translation of a description by Le Blanc (Précis d' opérations de chirurgie, Paris, Méquignon, 1782,i,58) as follows: "The hernial tumor should be examined to see if it is not composed of two hernias. Several practitioners in operating have found two hernias which passed through the ring on the same side and which formed only one tumor in the scrotum. These hernias had each its individual sac, in each of which was contained a loop of intestine or a portion of the omentum or both together." ["Il faut même examiner si la tumeur herniaire n'est pas composée de deux

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