360 
M. JACOULET. 
If the hand has been pushed too suddenly through the ma 
of the intestinal circumvolutions the connection of the parts inig 
be much disturbed, and the search for the testicle rendered mo 
difficult. 
If, after all, the hand becomes fatigued and its sensitivene 
impaired by the contraction of the abdominal muscles and of tl 
posterior leg and it becomes necessary to withdraw it, let it ha> 
sufficient rest, carefully avoiding meanwhile the possible escape 
the intestines. 
Once in the abdomen, the hand must, as much as possible, I 
kept with its dorsal face turned towards the intestines, and wit 
out changing its position, the exploration continued with the pu! 
of tljjC fingers. It is on the boundary of the pelvis, with the a 
dominal cavity proper on a level with the anterior border of tl 
pubis which guides it, on one side of the median line, towaic 
the internal face of the flank, more or less high in the cavit 
that exploration must be made. Either the testicle itself, or onl 
the epididymis or simply the suspensory ligament, will then L 
detected. 
It is not a rare circumstance for the hand when it has pent 
trated the abdominal cavity, to feel the epididymis, quite loot 
and hanging down , touching at once the ends of the fingers. 1 
is a cord, dilated at both ends, very soft, smooth and slippery t 
the feeling. It is easily recognized by these characters, and a 
soon as it is taken hold of, the testicle, drawn with it, is readil 
f elt by the hand. 
This organ also is easily recognized. It is an ovoid mase 
slightly flattened, about the size of a hen’s egg, sometimes some 
what larger, but oftener smaller, flabby yet elastic, and giving 
peculiar sensation of roughness, due to the sinuosities of the blooJ 
vessels runing on its surface. If, instead of it, one should tak 
hold of a ball of manure, through the intestines, the error wil 
easily appear from the fact that the ball of manure is not ovoid 
but an irregular form; soft, but not elastic; with a perfectly 
smooth surface, and without annex or support; and moreover tin 
continuity of the canal in which it is contained would serve as ar 
important differential character. 
