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GONOCOCCIC PERITONITIS OF THE UPPER PART OF THE ABDOMEN IN YOUNG WOMEN: (Phrenic Reaction, or Subcostal Syndrome of Stajano; Fitz-Hugh—Curtis Syndrome) Report of Cases of Three Patients Treated Successfully with Penicillin and a Summary of the Literature

GONOCOCCIC PERITONITIS OF THE UPPER PART OF THE ABDOMEN IN YOUNG WOMEN: (Phrenic Reaction, or... Abstract PERITONITIS of the upper part of the abdomen in young women occurring during the course of gonorrhea was first described as a definite syndrome in 1919 by Carlos Stajano, in a paper read before the Society of Obstetrics and Gynecology of Montevideo, Uruguay. In his subsequent publications1 the clinical features of the acute stage of the disease were completely and graphically depicted. Little information of a clinical nature has been added since. Unfortunately, none of his work, printed in Spanish and French, was widely circulated in the United States. Hence it was not until 1930 that Curtis2 called attention to the frequent coexistence of gonococcic salpingitis and "violin string" adhesions between the anterior surface of the liver and the anterior abdominal wall discovered at operation—conditions indicating, presumably, a chronic, healing or healed perihepatitis. Fitz-Hugh, in 1934,3 described 3 cases in the acute stage, including 1 in which References 1. Stajano, C.: La reacción frénica en ginecología , Semana méd 27: 243-248 ( (Aug. 19) ) 1920 2. Reaction phrénique et infection génitale , Gynéc. et obst. 6:44-48 ( (July) ) 1922. 3. Stajano, C., and Pouey, E.: Las reacciones del peritoneo supracelíaco de origen genital: Las reacciones precoces. Casuística , An. Fac. de med. de Montevideo 5:202 ( (May-June) ) 1920 4. Rodríguez López 10d 5. Stajano, C.: La reacción frénica en ginecología: Fisiopatología y mechanismo de la reacción subcostal , 5:722 ( (Nov.-Dec.) ) 1920 6. Rodríguez López.10d 7. Curtis, A. H.: A Cause of Adhesions in the Right Upper Quadrant , J. A. M. A. 94:1221-1222 ( (April 19) ) 1930.Crossref 8. Fitz-Hugh, T., Jr.: Acute Gonococcic Peritonitis of the Right Upper Quadrant in Women , J. A. M. A. 102:2094-2096 ( (June 23) ) 1934.Crossref 9. Claudian, I., and Florian, I.: Le syndrome abdominal supérieur et pleurodiaphragmatique aigu au cours des annexites gonococciques , Ann. de méd 43: 62-72 ( (Jan.) ) 1938. 10. Footnote 1. 11. Hinton, J. W.: Hepatodiaphragmatic Adhesions as a Cause of Upper Abdominal Pain , J. A. M. A. 35:1744-1745 ( (Dec. 6) ) 1930.Crossref 12. Fitz-Hugh, T., Jr.: Acute Gonococcic Perihepatitis: A New Syndrome of Right Upper Quadrant Abdominal Pain in Young Women , Rev. Gastroenterol. 3:125-131 ( (June) ) 1936. 13. Hahn, T. F.: Gonococcal Peritonitis of the Upper Right Quadrant , J. Florida M. A. 25:73-75 ( (Aug.) ) 1938. 14. Footnote 4. 15. Fitz-Hugh.3 16. Boller, R., and Makrycostas, K.: Die chronische Pericholecystitis bei gonorrhoischen Adnexerkrankungen und ihre Behandlung , Klin. Wchnschr. 13: 1180-1183 ( (Aug. 18) ) 1934.Crossref 17. Brunet, W. M.: Acute Gonococcal Perihepatitis, with Report of Five Cases , Am. J. Obst. & Gynec. 39:481-485 ( (March) ) 1940. 18. Redewill, F. H.: Acute Gonococcic Perihepatitis: Abdominal Pain in the Upper Right Quadrant in Young Women , Urol. & Cutan. Rev. 41:685-692 ( (Oct.) ) 1937. 19. Curtis, A. H.: Adhesions of the Anterior Surface of the Liver , J. A. M. A. 99:2010-2012 ( (Dec. 10) ) 1932. 20. Bearse, C.: Gonorrheal Salpingitis and Perihepatic Adhesions , J. A. M. A. 97:1385 ( (Nov. 7) )1931. 21. Hertz, C. S.: Acute Gonococcic Perihepatitis , Proc. Staff Meet., Mayo Clin. 13:577-581 ( (Sept. 14) ) 1938. 22. Rodríguez López, M. B.: El sindrome subcostal y de reacción frénical del profesor doctor Carlos Stajano en las anexitis gonocóccicas , Arch. urug. de med., cir. y especialid. 16:313-319 ( (April) ) 1940. 23. Hudgins, A. P.: Acute Gonococcic Perihepatitis , West Virginia M. J. 37:77-79 ( (Feb.) ) 1941. 24. Steinberg, B.: Infections of the Peritoneum , New York, Paul B. Hoeber, Inc., 1944, pp. 231-241. 25. Curtis.2 26. Hinton5 27. Footnote 6. 28. Boller and Makrycostas.7 29. Brunet.8 30. Redewill.9 31. Mauro, E.: Le syndrome abdominal droit supérieur au cours des annexites gonococciques (syndrome de Fitz-Hugh) , Presse méd. 46:1919-1921 ( (Dec. 28) ) 1938. 32. Scott, G. D.: Subdiaphragmatic Gonorrheal Abscess , J. A. M. A. 96: 1681-1682 ( (May 16) ) 1931. 33. Ochsner, A., and De Bakey, M.: Subphrenic Abscess: Collective Review and an Analysis of 3,608 Collected and Personal Cases , Internat. Abstr. Surg. 66:426-438 ( (May) ) 1938. 34. Neuhof, H.: Non-Suppurative Subphrenic Peritonitis Complicating Appendicitis , Surg., Gynec. & Obst. 14:231-246 ( (March) ) 1912. 35. Lee, R. I.: Subdiaphragmatic Inflammation with a Syndrome of Physical Signs and Spontaneous Recovery Without Suppuration , J. A. M. A. 64:1307-1310 ( (April 17) ) 1915. 36. Clendening, L.: Subphrenic Infection: Cases Illustrative of the Different Forms of This Condition , M. Clin. North America 7:1147-1167 ( (Jan.) ) 1924. 37. Miller, H., in discussion on Curtis.10a 38. Cohn, A.; Studdiford, W. E., and Grunstein, I.: Penicillin Treatment of Sulfonamide Resistant Gonococcic Infections in Female Patients , J. A. M. A. 124:1124-1125 ( (April 15) ) 1944. 39. Lapenta, R. G.; Weckstein, A. M., and Sarnoff, H.: The Inadequacy of a Standardized Dosage of Penicillin in the Treatment of Gonococcic Urethritis , J. A. M. A. 128:168-170 ( (May 19) ) 1945. 40. Harford, C. G.; Martin, S. P.; Hageman, P. O., and Wood, W. B., Jr.: Treatment of Staphylococcic, Pneumococcic, Gonococcic and Other Infections with Penicillin , J. A. M. A. 127:325-329 ( (Feb. 10) ) 1945. 41. Greenblatt, R. B., and Street, A. R.: Penicillin for the Treatment of Chemoresistant Gonorrhea in the Female , J. A. M. A. 126:161-163 ( (Sept. 16) ) 1944. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

GONOCOCCIC PERITONITIS OF THE UPPER PART OF THE ABDOMEN IN YOUNG WOMEN: (Phrenic Reaction, or Subcostal Syndrome of Stajano; Fitz-Hugh—Curtis Syndrome) Report of Cases of Three Patients Treated Successfully with Penicillin and a Summary of the Literature

STANLEY, MALCOLM M.
Archives of Internal Medicine , Volume 78 (1) – Jul 1, 1946
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References (30)

Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1946.00220010011001
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Abstract

Abstract PERITONITIS of the upper part of the abdomen in young women occurring during the course of gonorrhea was first described as a definite syndrome in 1919 by Carlos Stajano, in a paper read before the Society of Obstetrics and Gynecology of Montevideo, Uruguay. In his subsequent publications1 the clinical features of the acute stage of the disease were completely and graphically depicted. Little information of a clinical nature has been added since. Unfortunately, none of his work, printed in Spanish and French, was widely circulated in the United States. Hence it was not until 1930 that Curtis2 called attention to the frequent coexistence of gonococcic salpingitis and "violin string" adhesions between the anterior surface of the liver and the anterior abdominal wall discovered at operation—conditions indicating, presumably, a chronic, healing or healed perihepatitis. Fitz-Hugh, in 1934,3 described 3 cases in the acute stage, including 1 in which References 1. Stajano, C.: La reacción frénica en ginecología , Semana méd 27: 243-248 ( (Aug. 19) ) 1920 2. Reaction phrénique et infection génitale , Gynéc. et obst. 6:44-48 ( (July) ) 1922. 3. Stajano, C., and Pouey, E.: Las reacciones del peritoneo supracelíaco de origen genital: Las reacciones precoces. Casuística , An. Fac. de med. de Montevideo 5:202 ( (May-June) ) 1920 4. Rodríguez López 10d 5. Stajano, C.: La reacción frénica en ginecología: Fisiopatología y mechanismo de la reacción subcostal , 5:722 ( (Nov.-Dec.) ) 1920 6. Rodríguez López.10d 7. Curtis, A. H.: A Cause of Adhesions in the Right Upper Quadrant , J. A. M. A. 94:1221-1222 ( (April 19) ) 1930.Crossref 8. Fitz-Hugh, T., Jr.: Acute Gonococcic Peritonitis of the Right Upper Quadrant in Women , J. A. M. A. 102:2094-2096 ( (June 23) ) 1934.Crossref 9. Claudian, I., and Florian, I.: Le syndrome abdominal supérieur et pleurodiaphragmatique aigu au cours des annexites gonococciques , Ann. de méd 43: 62-72 ( (Jan.) ) 1938. 10. Footnote 1. 11. Hinton, J. W.: Hepatodiaphragmatic Adhesions as a Cause of Upper Abdominal Pain , J. A. M. A. 35:1744-1745 ( (Dec. 6) ) 1930.Crossref 12. Fitz-Hugh, T., Jr.: Acute Gonococcic Perihepatitis: A New Syndrome of Right Upper Quadrant Abdominal Pain in Young Women , Rev. Gastroenterol. 3:125-131 ( (June) ) 1936. 13. Hahn, T. F.: Gonococcal Peritonitis of the Upper Right Quadrant , J. Florida M. A. 25:73-75 ( (Aug.) ) 1938. 14. Footnote 4. 15. Fitz-Hugh.3 16. Boller, R., and Makrycostas, K.: Die chronische Pericholecystitis bei gonorrhoischen Adnexerkrankungen und ihre Behandlung , Klin. Wchnschr. 13: 1180-1183 ( (Aug. 18) ) 1934.Crossref 17. Brunet, W. M.: Acute Gonococcal Perihepatitis, with Report of Five Cases , Am. J. Obst. & Gynec. 39:481-485 ( (March) ) 1940. 18. Redewill, F. H.: Acute Gonococcic Perihepatitis: Abdominal Pain in the Upper Right Quadrant in Young Women , Urol. & Cutan. Rev. 41:685-692 ( (Oct.) ) 1937. 19. Curtis, A. H.: Adhesions of the Anterior Surface of the Liver , J. A. M. A. 99:2010-2012 ( (Dec. 10) ) 1932. 20. Bearse, C.: Gonorrheal Salpingitis and Perihepatic Adhesions , J. A. M. A. 97:1385 ( (Nov. 7) )1931. 21. Hertz, C. S.: Acute Gonococcic Perihepatitis , Proc. Staff Meet., Mayo Clin. 13:577-581 ( (Sept. 14) ) 1938. 22. Rodríguez López, M. B.: El sindrome subcostal y de reacción frénical del profesor doctor Carlos Stajano en las anexitis gonocóccicas , Arch. urug. de med., cir. y especialid. 16:313-319 ( (April) ) 1940. 23. Hudgins, A. P.: Acute Gonococcic Perihepatitis , West Virginia M. J. 37:77-79 ( (Feb.) ) 1941. 24. Steinberg, B.: Infections of the Peritoneum , New York, Paul B. Hoeber, Inc., 1944, pp. 231-241. 25. Curtis.2 26. Hinton5 27. Footnote 6. 28. Boller and Makrycostas.7 29. Brunet.8 30. Redewill.9 31. Mauro, E.: Le syndrome abdominal droit supérieur au cours des annexites gonococciques (syndrome de Fitz-Hugh) , Presse méd. 46:1919-1921 ( (Dec. 28) ) 1938. 32. Scott, G. D.: Subdiaphragmatic Gonorrheal Abscess , J. A. M. A. 96: 1681-1682 ( (May 16) ) 1931. 33. Ochsner, A., and De Bakey, M.: Subphrenic Abscess: Collective Review and an Analysis of 3,608 Collected and Personal Cases , Internat. Abstr. Surg. 66:426-438 ( (May) ) 1938. 34. Neuhof, H.: Non-Suppurative Subphrenic Peritonitis Complicating Appendicitis , Surg., Gynec. & Obst. 14:231-246 ( (March) ) 1912. 35. Lee, R. I.: Subdiaphragmatic Inflammation with a Syndrome of Physical Signs and Spontaneous Recovery Without Suppuration , J. A. M. A. 64:1307-1310 ( (April 17) ) 1915. 36. Clendening, L.: Subphrenic Infection: Cases Illustrative of the Different Forms of This Condition , M. Clin. North America 7:1147-1167 ( (Jan.) ) 1924. 37. Miller, H., in discussion on Curtis.10a 38. Cohn, A.; Studdiford, W. E., and Grunstein, I.: Penicillin Treatment of Sulfonamide Resistant Gonococcic Infections in Female Patients , J. A. M. A. 124:1124-1125 ( (April 15) ) 1944. 39. Lapenta, R. G.; Weckstein, A. M., and Sarnoff, H.: The Inadequacy of a Standardized Dosage of Penicillin in the Treatment of Gonococcic Urethritis , J. A. M. A. 128:168-170 ( (May 19) ) 1945. 40. Harford, C. G.; Martin, S. P.; Hageman, P. O., and Wood, W. B., Jr.: Treatment of Staphylococcic, Pneumococcic, Gonococcic and Other Infections with Penicillin , J. A. M. A. 127:325-329 ( (Feb. 10) ) 1945. 41. Greenblatt, R. B., and Street, A. R.: Penicillin for the Treatment of Chemoresistant Gonorrhea in the Female , J. A. M. A. 126:161-163 ( (Sept. 16) ) 1944.

Journal

Archives of Internal Medicine – American Medical Association

Published: Jul 1, 1946

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