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June 16, 1888

THE DIAGNOSIS OF PERICÆCAL ABSCESS, AND ITS RADICAL TREATMENT BY REMOVAL OF THE APPENDIX VERMIFORMIS.Read in the Section on Surgery at the Thirty-Ninth Annual Meeting of the American Medical Association, Cincinnati, May 8, 1888.

Author Affiliations

OF PHILADELPHIA, PA.

JAMA. 1888;X(24):733-739. doi:10.1001/jama.1888.02400500001001

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Abstract

Abdominal surgery can show many brilliant achievements under modern antiseptic methods, but in scarcely another instance does an operation so completely afford its own justification, or when properly timed present such satisfactory results, as laparotomy when performed for suppurative appendicitis.

PATHOLOGY AND CLINICAL HISTORY.

It will greatly simplify the subject under discussion if we can first clear up the nomenclature, which, it would seem, has been more or less confused by the refinements of pathologists and others. We are accustomed to certain distinct terms to express inflammation of the cæcum, of its peritoneal investment, and of the surrounding structures and cellular tissue.

It would seem reasonable that all the niceties of diagnosis between typhlitis, perityphlitis, paratyphlitis and pericæcal abscess can properly be set aside, as without real practical value; since recent pathological researches have demonstrated that, as a rule, in cases presenting the well recognized characters of typhlitis, the symptoms

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