Abstract
Unfortunately, all risk to our patients is not incurred solely in the course of our aggressive modern methods of operating, as experience shows that the preliminary examination itself may even be a source of danger. The injury done by a gynecologic examination may fall on the structure which is being examined, or on the enveloping structures which constitute the wall of separation between the object and the examining fingers, occasioned by the effort on the part of the examiner to overcome the resistance offered by the barrier to palpation and the sense of touch. The injury thus incurred may be due either to the delicate nature of the tissues examined, rendering them liable to damage from the slightest violence, or to an unduly rough examination such as we too often witness, or to both of these factors combined. The examiner may in this way rupture, intra-abdominally, a thin-walled papillary
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