I desire first to direct attention to the question of etiological relationship between constipation, colitis and appendicitis.
My attention was first attracted in this direction by the following case, seen by me over four years ago: Jessie C., of Ada, Ohio, aged 12, had, when I saw her, the usual signs and symptoms of a periappendicular abscess, which I opened and drained. Her father, who is a physician, told me that from her earliest infancy she had been a frequent sufferer from colitis, with the symptoms and signs usual in such cases. Moreover, the present illness commenced as an attack of colitis, and only after these symptoms had continued for some time did the symptoms of appendicitis arise. She was even at the time of my visit having frequent mucous stools, tormina and tenesmus, and continued to have these symptoms for some time after the symptoms referable to the appendix
PORTER MF. COLITIS, CONSTIPATION AND APPENDICITIS: THEIR ETILOGIC RELATIONS.WITH A CONSIDERATION OF THE VALUE OF INCISION AND DRAINAGE IN CERTAIN FORMS OF APPENDICITIS. JAMA. 1900;XXXV(24):1526–1532. doi:10.1001/jama.1900.24620500012001b