290 



DISEASES DUE TO HELMINTHS 



There may be sexually mature living filari^ in the glands when 

 none of the embryos have passed into the blood (Bahr). 



(2) Elephantiasis of the Scrotum. 



SYMPTOMATOLOGY. 



A gradual enlargement with or without recurring erysipelatous 

 attacks, erythema and fever. A large triangular mass is formed, base 



Elephantiasis. Scrotum. 



downwards. On its anterior and superior aspect a canal is formed by 

 an inverted prepuce leading to the penis. 



This organ is buried in the tumour. The testicles are above and 

 behind, and are usually surrounded by hydroceles. 



The base of the tumour may be ulcerated. 



A tumour has weighed 224 pounds; 10 to 20 pounds is common. 



Tumours weighing 40 to 50 pounds are not infrequent. 



A localized groin tumour may weigh 10 to 20 pounds. 



Elephantiasis of the penis alone also occurs. 



