There are two classes of cases that tax the patience of the general practitioner to an extreme limit, and too often result in intervention that is ever afterwards regretted by the patient. I allude to instances of catarrhal inflammation of the Fallopian tubes in young women, usually monolateral, with more or less involvement of the ovary, as one class. The other class consists of chronic invalids who have at some previous time suffered from an acute attack of pelvic peritonitis, and in whom a physical examination reveals a firm agglutination of the peritoneal surfaces of the pelvic organs, together with a muco-purulent discharge from the upper genital tract. The clinical history of both classes of cases shows that they are etiologically identical with an important difference in their present condition, the second class representing the first after an acute attack caused by more or less traumatism, or other agency, has
MASSEY GB. CHRONIC INFLAMMATION OF THE UTERINE APPENDAGES; ITS TREATMENT BY MERCURIC CATAPHORESIS.. JAMA. 1902;XXXIX(9):481–482. doi:10.1001/jama.1902.52480350019001e
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