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December 2, 1911


JAMA. 1911;LVII(23):1837. doi:10.1001/jama.1911.04260120027010

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A nun, aged 38, consulted me March 9, 1911.

In November, 1901, she had been operated on for uterine displacement because of painful menstruation. In April, 1905, on account of the continuance of the pain, a second celiotomy was performed. The ovaries were found to be cystic and were removed, and at this operation the appendix was excised. Afterward and following catheterization, cystitis developed. She was under treatment for this for two months before it cleared up. In June, 1906, not having experienced any relief from the previous operations, an abdominal hysterectomy was performed. She required catheterization after operation and again the bladder became infected. Intense burning during urination was present, with frequent desire to micturate. Treatment, consisting of bladder lavage with argyrol, was kept up for four months, with only partial cessation of symptoms.

Three months later, she developed an attack of violent pain in the back and right kidney region. This was accompanied

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