September 27, 1924


JAMA. 1924;83(13):967-971. doi:10.1001/jama.1924.02660130007003

The present attitude of many surgeons with regard to chronic appendicitis is one of skepticism. It is natural that a reaction should come, after the wholesale removal of appendixes ten or fifteen years ago without sufficiently careful differential diagnoses. As a result, the failure of appendectomy to cure pain in the right iliac fossa in adults has been much emphasized. In order to condemn entirely the removal of appendixes for chronic appendicitis, it is necessary to prove that appendectomy does not relieve the symptoms, or that the percentage of failures is sufficiently high to make the operation unjustifiable. A study of the symptomatology and the results of operation in a group of children, in whom the neurasthenic element, so often encountered in adults, is rarely present, would therefore seem of value.

The records of 100 cases in children under 13 years of age, in whom a clinical diagnosis of chronic

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