Some Difficulties in the Diagnosis of Inguinal Hernia

external oblique, a chronic abscess, and femoral hernia. But in this country a condition known as lymphatic varix or lymphangiectasis of the spermatic cord is met with which sometimes gives rise to difficulty either in the diagnosis of hernia or its contents. Apart from the symptoms the chief clinical features of a hernia arc a swelling in the usual place, which appears or increases on coughing with an impulse of expansible type; the internal ring may be bigger than normal. In most old-standing cases, the omentum owing to its