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April 10, 1954

Chronic Iliac Pain in Women

JAMA. 1954;154(15):1317. doi:10.1001/jama.1954.02940490081036

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This booklet presents a remarkably clear and concise analysis of the many causes of pelvic pain in women and discusses admirably the etiology and treatment, medical and surgical. Greater emphasis might have been placed on amebiasis as a cause of "the cecal syndrome." These pesky protozoa constitute a recurring source of embarrassment to "knife-happy" surgeons. Careful stool examinations and appropriate treatment will bring about a cure in many instances. Cervical cauterization, it is true, will relieve many a sacral backache caused by chronic cervicitis and pelvic lymphangitis, but this should not be considered an office procedure. The cervix should be adequately dilated to permit curettage and biopsy and to facilitate thorough destruction of foci present in otherwise inaccessible glands; this is far better done in the hospital with the patient under intravenous anesthesia. In general, this small treatise is a masterpiece of helpful knowledge. The undergraduate should be drilled thoroughly

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