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September 21, 1907


Author Affiliations


JAMA. 1907;XLIX(12):1025-1026. doi:10.1001/jama.1907.25320120047002i

A number of cases of suppurative salpingitis have been mentioned in the literature of pelvic surgery as having resulted from appendiceal infection. I intend to add a few cases to those already reported, so as to emphasize the fact that such cases exist and with greater frequency than is generally believed. In my cases I not only observed the appearance of the diseased organs before, during and after removal, but the presence of the diseased and ruptured appendix with the colon bacillus in the pus in the tubes. I observe many different symptoms, as well as marked dissimilarity between such diseased adnexa and those having the more frequent gonorrheal infection. There is also an appreciable difference between the tube with streptococcic invasion and that with gonorrhea. All of these pathologic changes, I think, are characteristic of the peculiar micro-organisms which produce the disease, and each has its own type and