The serous-wall of the typical, non-communicating, idiopathic hydrocele of the child presents with a lympho-static oedema, whose protein-containing fluid is pressed transmesothelially into the lumen. The cause must be seen in the lymph-drainage of the tunica vaginalis testis which follows the obliteration. The above described etiological-pathogenical concept gives the more or less empirical therapeutic-methods a rational basis.
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