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July 25, 1891

ON APPENDICITIS AND PERICÆCAL INFLAMMATION. WITH NOTES OF CASES ILLUSTRATING UNUSUAL DIFFICULTIES IN DIAGNOSIS.Read before the Section of Surgery and Anatomy, at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D. C., May, 1891.

Author Affiliations


JAMA. 1891;XVII(4):125-136. doi:10.1001/jama.1891.02410820001001

No subject within the domain of abdominal surgery within recent years, has made such decided progress, or is at the present time, attracting more attention than that of operation for intestinal lesions, whether due to traumatism or disease.

The fact that perforation so frequently complicates perityphlitis, brings the question of the management of such cases prominently before us as surgeons, and requires that we should not only entertain decided convictions as regards the pathology of the affection, but also have well matured opinions as to the details of operating, and upon the time when such operation should be performed with the least risk to the patient, and with the prospect of the most successful result.


Appendicitis, simple or perforating, with resulting perityphlitic inflammation, or pericæcal abscess, is a comparatively common pathological accident; and its diagnosis and treatment belong both to medicine proper and to surgery.