The youngest sister was manifestly the most healthy in this family. The only event of any consequence in her history occurred at the age of seven years when she was given a severe blow in the lower right quadrant of the abdomen. Recovering from the acute effects of this injury there was apparently no permanent damage. It bears only questionable significance on our case.
About a year ago the latter impression was left with me after reading an article entitled Why Treat Chronic Cases? This article appeared in a medical magazine which is nationally distributed. Undoubtedly there were many facts and some good reasoning and arguments, but the conclusion as indicated by the title was an admission of failure.
The concomitant symptoms were easily controlled, but on their disappearance the attacks of pain increased in frequency and violence. Physical examination revealed adhesive bands, which constricted the vagina and involved the right broad ligament and right ovary which was apparently bound down to the side of the pelvis.