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April 10, 1909


Author Affiliations

Surgeon to St. Francis Hospital PEORIA, ILL.

JAMA. 1909;LII(15):1180-1181. doi:10.1001/jama.1909.25420410028002b

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At this time, when there is a discussion as to the advisability of removing the "symptomless fibroid," it may not be inopportune to report the following case:

History.  —The patient, Miss D. M., aged 40, came under my care at the St. Francis Hospital on Dec. 28, 1907. Her menstruation had been established at seventeen and had been regular every four weeks with a scanty flow of one or two days' duration. She had some pain the day before each menstrual period. On Dec. 16, 1907, she was taken with pain in the lower abdomen and with difficult and frequent urination. She had a temperature of 102, pulse 100. She complained of an intense pelvic soreness. This was the first sickness she had had for eighteen years. Her menstrual period began the next day, December 17, and lasted one day with a very scanty flow. On December 18 the soreness

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