PubMed · 2453141
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F Trepsat. 1988. [Blepharochalasis].. https://pubmed.ncbi.nlm.nih.gov/2453141/
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In this paper, we analyze the collection of ancient Greek treatises ascribed to Hippocrates (460; between 371 and 350 BC), in order to determine whether or not edema can be traced. As a result of reading these works on the Greek text, we recognize some symptoms of edema in those called oidêma (swelling) and udrôps (dropsy) in the oldest treatises of the Corpus; in some cases, it seems also possible to recognize its description as the uremic coma. The dysfunction of edema had not been identified as such, however, even though the phenomena associated with the above symptoms received a specific explanation, which was fully hypothetical. This theoretical explanation also justifies the therapies prescribed for the treatment of the phenomena among which edema appears. Significantly enough, the treatment changed during a period which corresponds to that of Hippocrates' life: it changes from the four-quality system to that one of the four humors, but not necessarily under the influence of Hippocrates himself.
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BACKGROUND: Genital edema is a well-reported complication of peritoneal dialysis. This phenomenon has been associated with extravasation of dialysate from the peritoneal cavity through a defect in the abdominal wall or through an wall or through an inguinal hernia (or patent processus vaginalis, persistent sac). In the first case, fluid tracks through the soft tissues of the abdominal wall and settles in the dependent genitalia. In the second, fluid tracks through the inguinal hernial defect and infiltrates into the tissues distal to the defect. It is difficult to precisely diagnose the etiology of many of these cases but it is obviously important. METHOD: We report a case of a patient who presented with penile and scrotal edema and was eventually found to have bilateral patent processus vaginalae. We used computed tomography and peritoneal scintigraphy in order to ascertain the diagnosis. RESULTS/CONCLUSIONS: We believe that computed tomography and peritoneal scintigraphy are extremely helpful in the workup of genital edema in patients on continuous ambulatory peritoneal dialysis.