282 DISEASES DUE TO HELMINTHS 



appears when the patient lies down, and reappears when he is standing. 

 The vessels are softer, less tortuous and more pouch-like than in true 

 varicocele. 



When it occurs in the leg there is fever, enlargement of glands, a 

 soft swelling in the groin which disappears on the patient lying down 

 and reapjDears on standing. It does not give any impulse on 

 coughing. 



TREATMENT. 



Antiseptic dusting powder. Use a suspensory bandage. 

 If the patient is exhausted from discharged lymph remove some of 

 the distended tissue and tie the dilated vessels. 

 Elephantiasis or chyluria may result. 



(4) FILARIAL ABSCESSES. 



These may occur in the thorax and the retroperitoneal ilj'jue. 

 In the latter case the symptoms may be those of peritonitis. 

 The dead body of the parent worm is usually absorbed but if it acts 

 as an irritant an abscess may arise. 



(6) FILARIAL PHLEBECTASIS (F. varix). 



This consists of masses of enlarged superficial veins which may 

 occur in the axillae, groin or other regions. 



(6) VARICOSE LYMPHATIC GLANDS. 



These occur chiefly in the groin, the inguinal and femoral glands, 

 less often in the axillary and the lumbar (P.M.) regions. 



The glands enlarge after each fever. They form soft elastic swell- 

 ings, easily movable, at first covered with ncirmal skin, but later they 

 become fixed to the deep fascia. 



The fluid from an exploratory puncture shows at times microfilariae, 

 and always lymph or chyle. The glands are usually small, but they 

 may become very large. They are seldom painful. 



TREATMENT. 



Remove if necessary. 



The condition is difficult to eradicate completely. 



Radium may be tried. 



(7) CHYLOUS EXTRAVASATIONS. 



Lymph or chyle may be extravasated by dilated lymph or lacteal 

 vessels into the — 



(i) Urinary passage causing chyluria and lymphuria. 



(2) Bowel passages causing chylous and lymphatic diarrhoea. 



(3) Tunica vaginalis causing chylocele. 



