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August 1, 1914


Author Affiliations


JAMA. 1914;LXIII(5):391-395. doi:10.1001/jama.1914.02570050027008

The subject of pelvic varicosities is little discussed, little understood and little written about. It is, however, of sufficient importance to be the cause of considerable suffering among women. Pelvic varicocele or varicocele of the broad ligaments consists of a more or less permanent dilatation of the veins of the pampiniform plexus. The condition is not so uncommon as has been supposed. There are few operators of long and extensive experience who do not come across cases of this kind in their gynecologic work, yet the literature on the subject is exceedingly meager. The first case reported in this country was that of Dr. Dwight of Boston in 1887. A. P. Dudley and Zinke of this country have written exhaustively on this subject. Dudley reported four cases, Malins of Birmingham found two more and to these Zinke adds two cases. Rousans states that it is quite common. Winkel, cited by

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