On the Sarcocele of Egypt. 295 
many varicose veins running on it. The other part was 
round, with thick yellow rugous incrustations, disposed lke 
scales, separated from each other, particularly at the articu- 
lations, by deep ulcerated furrows, which discharged an 
ichorous feetid fluid. The crusts were more considerable 
at the ancles and the heel than other parts. Deep cavitics 
were observable between the toes, and on the sole of the 
foot. When pressure was made on the parts of the limb 
which were most swelled, there was no pain produced, nor 
was any impression left by the finger; the skin and cellular 
membrane offered all the resistance of cartilage. 
This man had lost his sight by the endemic ophtha'mia ; 
he was of dark complexion, of weak constitution, and lan- 
guished out a miserable life. ‘The tumour weighed about 
seventy-five pounds; it was of an oval form, and inter- 
spersed at its inferior part with furrows and incrustations, 
hard and resisting in some parts, and soft, but without fluc- 
tuation, in others, of a blackish brown colour, At the 
middle and fore part an oblong aperture, surrounded with 
a thick and callous border formed by ‘the pressure, was 
observed. This aperture led to the urethra, which passed 
upwards and backwards towards the pubis. The corpora 
cavernosa were felt anteriorly at the neck of the tumour, 
and the testes on the sides, or rather towards the back part; 
these last seemed sound, and the spermatic chords were 
elongated and enlarged, and the arteries, whose pulsation 
was readily perceived, seemed to have enlarged their calibre ; 
the skin of the abdomen was stretched to accommodate it- 
self to the tumour, and the hair of the pubis was consider- 
ably below that region, so much indeed that the navel was 
en the pubis. 
This enormous mass, which was supported by a suspen- 
sory, produced no other inconvenience than to impede by 
its weight the motions of progression. 
Case III. 
A husbandman of Upper Egypt had a earcocele for 
twelve or fifteen years, which was daily augnicntng, At 
the time] saw him at Cairo. his tumour was enormous, and 
weighed near one hundred pounds; it descended nearly to 
his feet, separating the legs ; it was of an oval form and of 
a brownish colour, unequal on is surface, and interspersed 
with incrusiations: like the sarcocele of Ibrahim, the pre- 
puce was in the middle of the anterior part, and the tesucles 
on its sides, or towards the superior poruon, Aiter having 
beeu treated by the physicians of his country, he consulted 
f T4 au 
