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December 1938


Author Affiliations

From the Gynecologic Service of the Mount Sinai Hospital.

Arch Surg. 1938;37(6):1004-1007. doi:10.1001/archsurg.1938.01200060141010

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An analysis of a large group of cases of ovarian tumor (1,101 cases) disclosed that 103 laparotomies were performed after a diagnosis of acute or chronic appendicitis had been made. That disease of the ovary may simulate appendicitis, disturbances of the gallbladder or genitourinary tract, ectopic gestation and other abdominal or pelvic conditions is well known. Generally the symptoms of an ovarian growth differ sufficiently from those of appendicitis to warrant careful differentiation before radical treatment is instituted. The salient features of ovarian tumor and the clinical and operative findings as here disclosed may serve to indicate the causes of the high incidence of diagnostic error.

Physicians often examine a normally menstruating, unmarried young woman to determine the cause of pain in the lower part of the abdomen. I have found that the incidence of ovarian pathologic change in such patients is especially high.

Sixty-three patients (61 per cent) were

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