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April 27, 1940


JAMA. 1940;114(17):1687. doi:10.1001/jama.1940.02810170083020

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To the Editor:—  In the March 9 issue of The Journal, page 912, the question of retrodisplacement of the uterus following trauma was considered. I think that an experience of Dr. J. Marion Sims is of great interest and would like to call attention to it. On page 15 in Clinical Notes on Uterine Surgery, written by Dr. Sims and published by William Wood & Co. in 1886, appears the following: "In December 1845, a lady riding a pony in Montgomery, Alabama, fell striking her pelvis and suffering contusions of the back and rectal and vesical tenesmus. The uterus was found in complete retroversion, which was replaced with the patient in knee-chest position, by manual pressure and accidental introduction of air. On deliberation of a patient with a vesicovaginal fistula and of the vagina which ballooned with the introduction of air, the Sims Speculum was invented."

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