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Article
February 27, 1926

PAROXYSMAL TACHYCARDIA FOLLOWING THE USE OF AIR IN TESTING FALLOPIAN TUBE PATENCY

JAMA. 1926;86(9):623. doi:10.1001/jama.1926.26720350003010b

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Abstract

Because of the frequency with which air is used instead of carbon dioxide in the routine performance of the Rubin test for sterility, this case is put on record.

Nov. 11, 1925, Mrs. W. H. B. consulted a gynecologist because of sterility. A routine pelvic examination discovered no abnormality in the uterus and adnexa. Then, with the usual sterile precautions, air was injected, under manometric control, through a blunt nozzle into the uterine cavity to determine whether or not the fallopian tubes were patulous. The air apparently entered the abdominal cavity without obstruction. The amount was not measured, but the gynecologist believes that it was not more than the contents of one or two ordinary-sized hand-bulbs. The patient suffered no inconvenience and left the office immediately after the examination.

About an hour later, as she was about to board a train, she was suddenly seized with intense pain low in

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