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July 11, 1908


Author Affiliations

Surgeon to St. Vincent's and The Hillman Hospitals. BIRMINGHAM, ALA.

JAMA. 1908;LI(2):127. doi:10.1001/jama.1908.25410020039003b

Salva Mersade1 reports 41 cases of uterine abscess. Of these 22 were from puerperal infection; gonorrhea was the next most frequent cause; five cases were of tuberculous origin. He advises that laparotomy be done in all cases instead of attempting to open the abscess through the vagina. When the abscess is well isolated and the patient young, incising, curetting the cavity and drainage may be practiced. Total hysterectomy will probably be indicated in a majority of cases.

The following is the history of my case which was operated on four years ago:

History.  —Mrs. R., age 31, of German parentage; family history negative; menstruation began at 13 years of age, was always regular and normal. She was married at 25; her first child was born fourteen months later; she had a normal labor, but has not been well since then; has had pain in back and in both ovarian

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