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Article
March 7, 1908

SUBPHRENIC ABSCESS AS A COMPLICATION OF APPENDICITIS.

JAMA. 1908;L(10):751-757. doi:10.1001/jama.1908.25310360013001d
Abstract

HISTORICAL DATA.  The first accurate description of a subphrenic abscess was published by Bouchard1 in 1862. In 1882, Leyden2 reported several cases in which the diagnosis was made clinically. Maydl,3 in 1894, collected 179 cases, which he divided into twelve groups, according to their cause. Among these were 23 following appendicitis. Since this time Weber,4 Sachs5 and Elsberg6 have reported a number of cases. Elsberg was able to collect 73 cases of subphrenic abscess following appendicitis, which had been published up to 1901. I have been able to add 33 cases, including 5 of my own.

FREQUENCY.  Few statistics are available from which to draw deductions as to the relative frequency of this complication. Weber found it nine times in 350 cases, and Moschowitz7 found 8 cases of subphrenic abscess among 2.000 cases of appendicitis occurring in Mt. Sinai Hospital.

ANATOMY AND PATHOLOGY. 

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