UTERINE HEMORRHAGE IN PELVIC INFLAMMATORY DISEASE

C. F. Fluhmann
In: Journal of the American Medical Association · 1931 · vol. 97(10) , pp. 694 · doi:10.1001/jama.1931.02730100018007 · W2032775067
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This study analyzed clinical manifestations and pathological observations in fifty-two patients with gonorrheal pelvic inflammatory disease associated with abnormal uterine bleeding.

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Abstract

In a recent statistical study of a large series of patients with abnormal uterine hemorrhage,1it was observed that a pelvic inflammatory disease accounted for the disorder in 16 per cent of the patients who had not passed the menopause. This large number and the fact that the hemorrhage manifested itself clinically in a variety of ways, suggested pelvic inflammatory disease as an important field for investigation of the factors concerned in uterine bleeding. The present study is an analysis of the clinical manifestation and pathologic observations in a series of fifty-two patients with pelvic inflammatory disease of gonorrheal origin, and associated with menorrhagia, polymenorrhea, or some form of metrorrhagia. INCIDENCE Although there are comparatively few figures in the literature giving the incidence of menstrual disturbances and uterine bleeding associated with acute or chronic salpingitis, it is generally recognized that these conditions are found in a high percentage of

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