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August 12, 1905


Author Affiliations


JAMA. 1905;XLV(7):465. doi:10.1001/jama.1905.52510070033004

Patient.  —Mrs. S., aged 33, married, housewife, was referred to me at the Italian Hospital, April 5, 1905, with the following history:

History.  —Patient has given birth to eight children, three still living, five miscarriages; otherwise she never had any trouble. Her present trouble started five weeks ago, when she aborted a three months fetus. She was curetted by her family physician at that time.

Examination.  —The woman is very pale and thin, complains of headache, backache, and a feeling of uneasiness in the lower part of the pelvis; also of a bloody fetid discharge. The perinneum is lacerated through the external sphincter. She has a slight cystocele and a large rectocele. There was no visible discharge, the patient having taken a douche. A unilateral laceration of the cervix could be felt, and the uterus seemed slightly adherent to the rectum. The fundus was enlarged and soft; the tubes and

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