Mrs. B—, aged 38 years, twice married, and three times a mother from her first marriage, was seized with pain in the pelvic region on the night of March 17, 1884. I saw her first two days afterward, March 19, and found her suffering with intense pain low down in the abdomen, but particularly in the region of the right ovary, where the tenderness upon pressure was extreme. The abdominal muscles were tense, the lower extremities were flexed, there was constant nausea, and micturition was difficult or impossible. An examination, per vaginum, was made with difficulty because of the pain which it excited or increased; but the uterus was found low down in the pelvic cavity, with a patulous os, and the right ligament was very tender. Bi-manual palpation was attempted, but could not be satisfactorily employed by reason of the suffering which it inflicted. Temperature 101 F.; pulse 110.
POTTER WW. A CASE OF ACUTE PELVIC ABSCESS; WITH REMARKS.1. JAMA. 1885;V(2):36–38. doi:10.1001/jama.1885.04470010008002
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