Surgeons have lately been devoting considerable attention to the diagnostic value of the white blood count, specially in acute abdominal conditions, and with very contradictory results, as shown by their conclusions. Some have expressed the belief that leucocytosis as an aid to the surgeon in diagnosis is far from having positive value; that the facts are too much at variance and too contradictory to be relied on; and that, as at present developed in the hands of the average surgeon if constantly acted on, do great harm. Others believe that there is considerable diagnostic value in the leucocyte count in doubtful cases and always have an estimation made in such cases.
Kühn1 of Rostock University, in a paper on the diagnostic value of leucocytosis, gives tabulated results of his estimations in a series of operative cases, and concludes that the leucocyte count is a diagnostic aid of great importance,
THE SIGNIFICANCE OF LEUCOCYTOSIS IN SURGICAL DIAGNOSIS.. JAMA. 1903;XL(8):520-521. doi:10.1001/jama.1903.02490080038005