Perihepatitis and Salpingitis
Abstract
To the Editor.—
I read with interest the article "Perihepatitis Associated With Salpingitis in Adolescents" (240:1253, 1978) by Iris F. Litt, MD, and Micheal I. Cohen, MD. I have two comments.
Eschenbach and Holmes' have noted a 31% incidence of right upper quadrant tenderness in acute pelvic inflammatory disease, implying that the perihepatitis is far from uncommon. The initial symptom (which may be in either the right or left upper quadrants)2 may often be overlooked...