It is common knowledge that many abdominal explorations made after chronic appendicitis has been diagnosed have revealed an insufficient pathologic process to warrant the section, and that the patients, after removal of the appendix, have been discharged without any relief from primary symptoms and perhaps, subjectively, in a worse condition than before the operation. So much has been said and written about the commission of such errors in diagnosis that the pendulum has swung the other way, and many physicians refuse to acknowledge the presence of a condition that might properly be termed chronic appendicitis.
The statement that there is no such entity as chronic appendicitis, even if based only on clinical experience, would warrant consideration; but the claim that there is no pathologic basis for the use of the term merits the most careful investigation before such a statement be accepted. To obtain the proper conception and the proper
KOSTER H. CHRONIC APPENDICITIS. Arch Surg. 1928;16(1):44–60. doi:10.1001/archsurg.1928.01140010048003