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1. 1. The history of generalized peritonitis secondary to ruptured pyosalpinx is briefly reviewed. 2. 2. Although not a common complication of gonorrhea in the female, rupture of a pyosalpinx accounts for 8 per cent of all cases of generalized peritonitis. 3. 3. In the majority of cases of spontaneous rupture of a pyosalpinx, there is no assignable cause for the perforation. There is no strict correlation between perforation and the number of acute attacks of salpingitis or the size of the pyosalpinx. 4. 4. The diagnostic features consist of a sudden onset of a diffuse and rapidly spreading peritonitis associated with a state of circulatory collapse, followed by a rapidly rising temperature, a leucocytosis and an elevated erythrocyte sedimentation rate. 5. 5. The treatment of choice of this condition is a bilateral salpingectomy followed by the insertion of a Mickulicz' or tube drain into the pelvis. 6. 6. The prognosis depends upon the general state of the patient, the time of surgical intervention, the nature of the operation instituted, and to a lesser extent, the bacteria present at the time of perforation. 7. 7. Two cases of generalized peritonitis secondary to spontaneous rupture of a pyosalpinx are here presented and discussed.

In the past few years a voluminous literature has appeared on the subject of stricture of the rectum secondary to lymphogranuloma venereum. Almost without exception, however, the treatment of this condition has been dealt with superficially and briefly. The obvious reason for this has been the inadequacy of all forms of treatment instituted. An utter feeling of despair has arisen in both patient and physician, so that permanent colostomy has been accepted as the procedure of choice. What a high price this is for the young adult afflicted with an otherwise benign condition that can be reached with the finger! And no hope was entertained by these patients of ever having these colostomies closed after any local form of treatment to the strictured areas. Ault 1 in his review of venereal diseases of the rectum states that "No permanent cure of stricture due to lymphogranuloma venereum has been reported to