(Gr. alma, blood, and KO n, tumour), the medical term for a localized collection of blood in the tunica vaginalis or cord. It is usually the result of a sudden blow or severe strain, but may arise from disease. At first it forms a smooth, fluctuating, opaque swelling, but later becomes hard and firm. In chronic cases the walls of the tunica vaginalis FIG. I.
FIG. 2.
undergo changes. The treatment of a case seen soon after the injury is directed towards keeping the patient at rest, elevating the parts, and applying an evaporating lotion or ice-bag. In chronic cases it may be necessary to lay open the cavity and remove the coagulum.