URETEROPERITONEAL FISTULA, WITH URINARY ASCITES AND CHRONIC PERITONITIS

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Abstract
History. —E. R., a colored woman, aged 34, was first admitted to the gynecologic service of the Johns Hopkins Hospital, Oct. 7, 1928, complaining of increased duration of the menstrual periods. There was nothing of significance in the family history so far as the present report is concerned. The past history was also irrelevant except as regarded the digestive system. The patient's appetite had always been good, but for several years she had been subject to "indigestion." at times with nausea, occurring usually at night. In the winter of 1927 she was troubled by frequent attacks of vomiting which were aggravated by eating, even when she was most careful about taking a moderate diet. There was often a feeling of fulness after eating and moderate pain, especially at night. These symptoms were associated with an obstinate chronic constipation. At this time she was treated in the gastro-intestinal division of the

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