296 On the Sarcocele of Egypt. . 
an English physician who was travelling in Egypts im hopes 
of a perfect cure, he consented to the application of an 
actual cautery; but the repeated use of this remedy gave 
him no relief, and the tumour continued in the same state. 
Some years after, he consulted a Spanish physician, who 
also was journeying in Egypt, who plunged a knife deeply 
into the tumour, persuaded that it was hydrosarcocele, but 
there issued only a little blood; and the disease, so far from 
yielding to this operation, became worse and Jarger. These 
two operations, the patient said, were performed without-his 
suffering much pain; and no accident or inconvenience 
was produced. The cicatrices were yet tender when I first 
saw him at Cairo, and he was disposed to submit to its ex- 
tirpation, which I advised, but the same impediments as 
in the former case prevented my performing it. 
Case IV. 
Hamet Fatomi, thirty years of age, wife of a labourer of 
Cairo, came into the civic hospital on account of two tu- 
mours which she had had for many years. These tumours 
seemcd to have their origin in the external Jabia, for there 
was no vestige of these parts to be seen, nor of the nym- 
phz; they were nearly of the same size, were placed by 
the side of each other at the entrance of the vagina, and 
each of them resembled the bead of an infant, rugous and 
unequal on the greatest part of their circumference, smooth 
on the inner part, and of a violet colour; their prominent 
sides, or rather their base, was covered with pustulous in- 
crustations, like the sarcocele of Ibrahim, and discharged a 
similar foetid ichorous fluid; they were attached by small 
roots to the ischium and pubis, were hard, insensible, and 
like scirrhus, measured about thirteen inches each in cir- 
cumference, four inches in diameter, and seven inches long, 
The woman, who was of a sickly constitution, had an 
incipient elephantiasis. Her lips were thick and of a lead 
colour, her gums pale and ulcerated, sorrowful appearance 
of the eyes and countenance, and disposed to melancholy : 
the digestive functions, however, went on well, [I attri- 
buted this affection to the incipient elepbantiasis, and it 
is remarkable that she had never menstruated regularly. 
I proposed to extirpate the tumour, and began to give 
her remedies which [ hadalready employed with benefit 
in elephantiasis. In six weeks her limbs and lips were less 
swelled, and nearly in their natural state; she had become 
stronger, the tumours were somewhat softer, the discharge 
which flowed from the ulcerated scales had become less 
‘ foetid ; 
