The protean character of various forms of pathological conditions, grouped under the head of appendicitis, offers the surgeon an unusual and often unforeseen group of clinical, as well as pathological, manifestations. The varying size and anatomic appearance of the appendix, the various movements through which it passes in peristaltic action, the various directions in which it might permanently locate itself, from the adhesions it is likely to make during the course of a surrounding inflammation, make the possible resulting pathological lesions almost numberless. Should a case be submitted to operation a very short time after the initial symptoms present themselves, the purpose of this paper would be eliminated, for nothing would be found but a displaced appendix adherent to the colon, ileum or retroperitoneum. Possibly when an anomaly takes place, an adhesion to surrounding organs might be found, and the operation or cure of the condition would consist simply in
LaPLACE E. SOME UNUSUAL FEATURES OF APPENDICITIS AND THEIR TREATMENT. JAMA. 1901;XXXVII(15):949–952. doi:10.1001/jama.1901.62470410001001
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