In a previous communication from these laboratories von Haam and D'Aunoy1 reported that 33 per cent of females in a series suffering from venereal lymphogranuloma complained of pain in the lower lumbar and sacral regions, especially prominent when attempting to lie down. This symptom, which could be elicited in only 6 per cent of the males, they considered indicative of involvement of the deeper pelvic lymph glands, a common occurrence during the course of the infection in the female. In the same communication they suggested the possible etiologic significance of venereal lymphogranuloma in the production of chronic pelvic inflammatory disease, so frequently encountered in Negro women in this part of the country. Franchi2 operated on a woman with venereal lymphogranuloma and acute pelvic symptoms; in the left tubo-ovarian region he found an inflammatory mass bound by numerous adhesions to the rectum and sigmoid and containing pus from which
D'Aunoy R, Schenken JR. LYMPHOGRANULOMA AS A CAUSE OF PELVIC INFLAMMATORY DISEASE. JAMA. 1938;110(11):799–800. doi:10.1001/jama.1938.62790110001008
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