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September 2, 1893


JAMA. 1893;XXI(10):349-351. doi:10.1001/jama.1893.02420620025004

The profession has already become quite familiar with the disastrous results of gonorrhœa in the female and its varied pathologic possibilities as affecting the pelvic peritoneum, and secondarily the general expanse of the peritoneum. The possibility of a similar infection of the peritoneum in the male has received very little attention, in spite of the fact that John Hunter many years ago called attention to peritonitis following in the train of epididymitis of gonorrhœal origin.1 In Hunter's opinion testicular inflammations of all sorts are generally accompanied by pain in the loins, and a sensation of weakness in the lumbar region and pelvis. The intestinal tract sympathizes ordinarily with most testicular diseases, said sympathy manifesting itself either by colic pains, or abnormal sensation located in the stomach and bowels. Nausea and vomiting are frequent symptoms.

As a consequence of this gastro-intestinal disturbance the digestive function is deranged, and very painful,