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July 22, 1899


Author Affiliations


JAMA. 1899;XXXIII(4):197-200. doi:10.1001/jama.1899.92450560017001e

The experience of many years in treating the complications and sequelæ of appendiceal pus has led me to choose this subject as a proper and profitable one to bring to your notice, with the hope that both you and I may gain by the exchange of ideas and relation of experience. I am quite sure that many of you have seen and treated the various conditions which follow and complicate pus within the peritoneal cavity and, as a consequence, realize the peculiarly infectious and destrutive nature of that variety which owes its origin to appendicitis. And from essential conditions, the case cannot be different. We have in the appendix a narrow, muscular tube, filled with lymphoid tissue; it possesses a blood-supply from a terminal artery; it is deficient in drainage; it is always in more or less intimate contact with the peritoneum; it is undergoing retrograde metamorphosis; and, finally, it

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