Filarial hydrocoeles follow repeated attacks of filarial epididymo-orchitis. They vary in size and may develop slowly or very rapidly. Occasionally, the fluid contains liquid fat, which is rich in cholesterol. This is caused by rupture of a lymphatic varix with discharge of chyle into the hydrocoele.
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nerdparty67 - (no access) - McCaskie, A. W._ O'Connell, P. Ronan_ Williams, Norman S - Bailey & Love's Short practice of surgery (2018, CRC Press) - libgen.li.pdf, p1525
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