In 1930 Curtis,1 in a paper on a cause of adhesions in the right upper quadrant, drew the following conclusions:
Extensive adhesions between the anterior surface of the liver and the anterior abdominal wall, characteristically of the separate "violin-string" type, are not infrequently encountered in patients operated on for relief of pelvic distress incident to gonorrheal disease of the tubes.
It would appear that gonorrheal disease is not so invariably limited to the pelvis as has heretofore been assumed.
Female patients with symptoms suggestive of gallbladder disease or pleurisy may be suffering from liver-abdominal wall adhesions complicating a pelvic gonorrheal infection.
The following three cases, encountered within the past six months in the practice of an internist, would seem to represent instances of the hitherto undescribed acute and early manifestations of gonococcic peritonitis of the right upper quadrant. They would seem to complete the picture of
FITZ-HUGH T. ACUTE GONOCOCCIC PERITONITIS OF THE RIGHT UPPER QUADRANT IN WOMEN. JAMA. 1934;102(25):2094–2096. doi:10.1001/jama.1934.02750250020010
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