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November 7, 1931


JAMA. 1931;97(19):1385. doi:10.1001/jama.1931.27310190002010c

The observation that perihepatic adhesions are to be found at times in patients who also have gonorrheal salpingitis was first made by Curtis,1 a little more than a year ago. Since such adhesions may be the cause of symptoms and play a part in the clinical picture of salpingitis, any further facts relating to this complication are deserving of record.

REPORT OF CASE  H. D., aged 17, a white girl, single, was first seen in consultation with Dr. J. C. Henken at the Maiden Hospital, Aug. 22, 1930. August 6, while she was menstruating, cramp-like pains developed in the left lower quadrant of the abdomen. The pains were remittent in character, subsiding while she remained in bed and recurring when she arose. Finally, the pains subsided completely and for several days she was free from all symptoms. August 20, two weeks after the onset of her illness, sharp, knifelike