JAMA. 1896;XXVI(14):652-655. doi:10.1001/jama.1896.02430660004002.
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Gentlemen:  This patient is 22 years of age, puberty occurred at 16, menses were regular, periods lasted four days and were without pain. She has been married four years and three years since had one child. The labor was normal. She had one abortion near the third month of gestation, two years ago. This abortion, owing to retention of the fetal envelope, was followed by pelvic inflammation. Since then she has complained of dull, aching pain in the back and left side, aggravated at the menstrual periods. Micturition is normal. She has had no leucorrhea, appetite is fair, and the bowels are regular. On examination the uterus was found retroflexed, the body of the organ large, a certain amount of fixation upon the left side, and more or less tenderness. In this patient we have a history of suffering from puerperal inflammation of the uterus, and the inflammation has extended


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