August 22, 1980

The Length-Time Correlate in Appendicitis

Author Affiliations

From the Department of Surgery, Los Angeles County-University of Southern California Medical Center and the Children's Hospital of Los Angeles. Dr Harrison is now with the Department of Surgery, University of California, San Francisco.

JAMA. 1980;244(8):806-807. doi:10.1001/jama.1980.03310080040023

A prospective study of 60 children with appendicitis suggested a correlation between the length of symptoms prior to perforation and the level of appendiceal obstruction. These observations support the concept that obstruction of the appendiceal lumen near its tip leads to early perforation, while obstruction near the base leads to late perforation.

(JAMA 244:806-807, 1980)