Unusual site for hydatid cyst : an addition to the recognised varieties of intrascrotal disease / by Philip E. Muskett.

  • Muskett, Philip Edward, -1909.
Date:
[1886]
Catalogue details

Licence: Public Domain Mark

Credit: Unusual site for hydatid cyst : an addition to the recognised varieties of intrascrotal disease / by Philip E. Muskett. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    6/12 (page 4)
    Numerically—I speak from a town point of view—the disease will inevitably increase, for new country is being continually opened up by railway extension, and patient* are thereby enabled to have greater facilities for consulta- tion and treatment. Its recognition, therefore, will be rendered easier by the fact that its presence is not altogether unexpected, and the surgeon consequently will be less likely to fall into eiTor, as the maxim “ forewarned— forearmed” will apply to matters surgical as to most other things. In my own case, however, I must confess that till the cyst itself escaped from the a2>erture left by the trocar and canula, and that ten daj-s afterwards, the true nature of the disease was not recognised, as will be detailed subsequently. As to imique situations for hydatid disease in my own experience, I have found after death, in Douglas’ Pouch, a cyst the size of an orange, in a young girl who died of cardiac trouble. Had opportimity permitted an examina- tion during life it would doubtless have given rise to some dilficulty in diagnosis. I have also been present at an autopsy where a cyst was met with in the pericardial sac. ^^'hile house surgeon at the Sydney Hospital I saw a cyst the size of a hen’s egg, situated over the left deltoid muscle, which w'as taken to be an ordinary fatty tmnour till it was exposed by the scalpel. A few weeks ago a young infant at the breast, sent in by Dr. M. H. Long, of Eedfern, and opei'ated iqion by' Dr. Harman Tarrant, at the same Hospital, was found to have several distinct hydatid cysts, enclosing daughter and granddaughter cysts, in the left axillary' region, dijiping and burrowing deejdy down behind the scapula. The diagnosis of inti'ascrotal tumours has always been beset with difficulty, and although no mention is made by the accepted English authorities, as to the possibility of scrotal hydatid disease, yet, with us in the Southern world, it must have distinct claims for careful consider*-