DISEASES OF THE GENERATIVE SYSTEM 



it to be a malarial affection. The disease was investigated by 

 Castellani first in 1904, and more completely in 1907. He came to 

 the conclusion that it had nothing to do with either malaria or 

 gonorrhoea. He thought the malady had sufficiently characteristic 

 symptoms to be ranked as a separate disease, and suggested the 

 name ' endemic funiculitis.' The affection is not limited to Ceylon, 



Fig. 780, — Endemic Funicu- 

 litis, SHOWING Longitudinal 

 Section of the Cord. 



The testes and epididymis are 

 normal. 



Fig. 781. — Transverse Sections of the 

 Cord in Endemic Funiculitis. 



The testes and epididymis were normal, 

 but the tunica vaginalis held a small 

 quantity of fluid. The sections of the 

 cord are arranged in an arch from right 

 to left. The dilated veins, which were 

 filled with pus, are clearly visible. 



as cases occur in Southern India, and an identical pathological 

 condition has been described in Egypt by Madden in 1907 under 

 the name of cellulitis of the spermatic cord. The condition described 

 by Wise in the West Indies is probably the same pathological entity . 

 Of great importance are the investigations by Coutts. 



