I have had several cases of pelvic cellulitis terminating in abscess. The cases in the non-puerperal state have usually resulted in resolution, but this has not been the invariable rule. The most obscure and difficult to diagnosticate have been those of a chronic type, or cases in which the constitutional symptoms were less pronounced, or cases in which pain was one of the leading symptoms. Cases have occurred in which the urinary symptoms were, at first the most troublesome. Cases have occurred in which there was pain in the region of the hips, knees, an anxious countenance, chills, marked increase of temperature and of the pulse, alternations of sweating and partial recovery.
In some cases careful vaginal examination at first failed to reveal the true cause of the symptoms. This was so particularly in the case of Mrs. G. F. S., aged 30 years, married, but who never had had
CLARKE AP. FIVE CASES OF PELVIC CELLULITIS TERMINATING IN ABSCESS.1. JAMA. 1886;VI(3):57-59. doi:10.1001/jama.1886.04250010065001