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JAMA. 1891;XVI(22):782. doi:10.1001/jama.1891.02410740026002.
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Obstetrics and Diseases of Women. 

Dangers of Vaginal Injections.  Dr. Roulin, (Journal de Médecine de Paris, December 13, 1890), describes three cases where women suffered from severe symptoms after the use of vaginal injections, administered by themselves when in a sitting position. The first used the douche can,—fixing it rather high on the wall. Immediately after the injection violent hypogastric and lumbar pains set in, followed by vertigo and vomiting. The abdomen was not sensitive on pressure, though the pain was intense. Metrorrhagia followed and lasted for two or three days, but the pain ceased in twenty-four hours. The second case was almost precisely similar, excepting that the patient had used a hand syringe, and the symptoms were less severe. The third case also used a hand syringe. She felt a pain like a blow across the belly, but continued the injection; when it was ended lumbar and abdominal


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