[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
February 1970

Acute Appendicitis in the Aged PatientStudy of 300 Cases After the Age of 60

Author Affiliations

From the Second Surgical Clinic, University of Helsinki, Helsinki.

Arch Surg. 1970;100(2):140-143. doi:10.1001/archsurg.1970.01340200028006

Acute appendicitis is, above all, a disease of young persons, which causes the possibility of its occurrence in aged patients often to be overlooked. Delayed diagnosis of appendicitis is not infrequent in their case for this reason.

Every 15th human (7%) becomes affected with acute appendicitis at some time of life. After the age of 50, the risk of this disease is only 1:35 for women and 1:50 for men.

The manifestation of appendicitis in aged persons has some special features which may contribute to delayed diagnosis. On the other hand, rapid diagnosis of their appendicitis would be particularly desirable because in aged people concomitant, complicating diseases are not rare and their physiological reserves are often too small to tolerate any delay. It follows that early diagnosis of this disease in aged persons possesses great significance in regard to surgery, hospitalization, and occurrence of complications, as well as mortality.


Hubbell, D.S.; Barton, W.K.; and Solomon, O.D.:  Appendicitis in Older People , Surg Gynec Obstet 110:289-292 ( (March) ) 1960.
Thorbjarnarson, B., and Loehr, W.J.:  Appendicitis in Patients Over the Age of 60 , Surg Gynec Obstet 125:1271-1281 ( (Dec) ) 1967.
Kirchmair, W.:  Die Altersappendizitis , Wien Klin Wschr 64:435-437, 1952.
Wood, C.B.:  Acute Appendicitis in the Aged: A Study of 43 Cases Occurring After the Age of 60 , Amer J Surg 26:321-325 ( (Nov) ) 1934.Article
Goldenberg, I.S.:  Acute Appendicitis in the Aged , Geriatrics 10:324-327, 1955.
Thies, H.A.:  Die Appendizitis jenseits des 60: Lebensjahres , Zbl Chir 80:463-471, 1955.
Hangos, G., and Thurzó, R.:  Appendicitis in the Aged , Geront Clin Basel 3:55-67, 1961.Article
Williams, J.S., and Hale, H.W., Jr.:  Acute Appendicitis in the Elderly: Review of 83 Cases , Ann Surg 162:208-212, 1965.Article
Reeves, M.M.; Meredith, D.; and Lewis, F.J.:  Appendicitis in the Older Patient , Surg Gynec Obstet 106:610-612 ( (May) ) 1958.
Brotherus, J.V.:  Über die akute Appendizitis bei älteren Personen , Ann Chir Gynaec Fenn 41 ( (suppl 5) ):1-115, 1952.
Clements, N.; Olson, J.E.; and Powers, J.H.:  Acute Appendicitis in a Rural Community: Series 4 , Ann Surg 161:231-237 ( (Feb) ) 1965.Article
Ross, F.P.; Zarem, H.A.; and Morgan, A.P.:  Appendicitis in a Community Hospital , Arch Surg 85:186-191, 1962.Article
Wolff, W.I., and Hindman, R.:  Acute Appendicitis in the Aged , Surg Gynec Obstet 94:239-247 ( (Feb) ) 1952.