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A Mechanism for Chronic Filarial Hydrocele with Implications for Its Surgical Repair

Figure 4

Lymphangiectasias and W. bancrofti adult worms seen through the lymph vessel wall.

(A) A right emptied hydrocele sac in a 23 year-old patient from G1. Round dilations of lymphatic vessel (arrow heads) on the outer surface of the hydrocele sac wall. (B) A left hydrocele case in a 25 year-old patient from G1 after excision of hydrocele sac. Lymphangiectasia (arrow heads) in retrotesticular area, close to the excision margin of the hydrocele sac. (C) A closer view of B showing a cluster of small lymphangiectasias (circle). By transparency, filiform bodies of living worms (arrow heads) are seen in a larger lymphangiectasia.

Figure 4

doi: https://doi.org/10.1371/journal.pntd.0000695.g004