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The Significance of Cholesterol in Tropical Hydrocele¹

Prefatory remarks

Hydrocele is esteemed a prosaic malady in any clime. But study of the condition has been fruitful. In it we have learned facts which are significant. Tropical pathology here reveals knowledge of broader application if we have, "read the simple facts correctly."

This study was made in the hospitals of St. Croix, one of the Virgin Islands of the United States. There hydrocele is thirty or forty times more common than it is here. Filaria bancrofti infects practically the entire populace during their lives. Arteriosclerosis, cataract, and elephantiasis spread their malign mantles over people frequently and at an early age.

By hydrocele is meant the accumulation of fluid other than blood or edema, in the sac of the tunica vaginalis. It is analogous to elephantiasis arabum pedum (1). In the one there is pent-up fluid in a serous cavity. In the other lymph is amassed in larger lymph courses and the intercellular spaces.

¹ Read at twenty-first annual meeting of the American Society of Tropical Medicine, May 5 and 6, 1925, Washington, D. C.