RT Journal
A1 Fribourg S
T1 PErihepatitis and salpingitis
JF JAMA
JO JAMA
YR 1979
FD January 26
VO 241
IS 4
SP 359
OP 360
DO 10.1001/jama.1979.03290300013010
UL http://dx.doi.org/10.1001/jama.1979.03290300013010
AB To the Editor.— 
    Drs Litt and Cohen in their recent report have based their diagnosis of salpingitis on "the triad of lower abdominal pain, bilateral pelvic adnexal tenderness, and tenderness on motion of the uterine cervix." The diagnosis of perihepatitis "was confirmed in one patient and made in another patient who underwent laparoscopy." In all the other patients in the report, the diagnosis of perihepatitis was only presumptive and not so confirmed.Jacobson and Weström,1 using many more criterions than the aforementioned triad to make a provisional diagnosis of salpingitis, found at laparoscopic examination of 905 such patients that 35% did not have salpingitis, 23% had no pathological changes, and 12% had other disease. Salpingitis was confirmed in 65% of the cases reviewed. This report has served me well by casting doubt in my mind when I am certain, on the basis of whatever clinical criterions I wish to