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April 26, 1902


JAMA. 1902;XXXVIII(17):1059-1060. doi:10.1001/jama.1902.62480170013001a

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During the present year a lady 65 years of age came under my care presenting the following history and symptoms. The mother of several children, she had enjoyed good health until about two years ago, when she began to be troubled with constipation and pain in the lower part of abdomen and a sense of weight and pressure in the pelvis. These symptoms gradually increased. About six months prior to coming under my observation the symptoms became more acute, when she had, according to her statement, a discharge of fluid from the bowels. This gave her a measure of relief, but soon the same chronic condition she had previously suffered from appeared and continued on with some increase in severity until she came under my care in August of last year. A physical examination revealed the uterus to be uniformly enlarged to two or three times its normal size and

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