Post-traumatic reflex sympathetic dystrophy syndrome (Sudeck's atrophy): effects of regional guanethidine infusion and salmon calcitonin.

Abstract

severe vaginal discharge and recurrent labial abscesses, she agreed to an examination under anaesthetic, and a rectovaginal fistula was identified.She refused surgical excision of the rectum and was treated with oral pred- nisolone.The patient was re-admitted to hospital as an emergency in August 1976 with a three-day history of malaise, rigors, suprapubic pain, and four months' amenorrhoea.Her temperature was 39 0 C and pulse rate 112/minute.There was definite lower abdominal tenderness but no evidence of peritonitis.Investigations disclosed a haemoglobin of 9-7 g/dl and a white cell count of 16 x 109/1.Plain x-ray films of the abdomen showed a pelvic soft tissue mass