. A contribution to the pathology of the vermiform appendix . ation ofthe condition described by them. In such cases the caecum is small and of a foetal vermiform appendix arises from the apex of the caecum,and has usually a distinct mesentery. The caecum lies high upover the right kidney, not having descended into the right iliac 1 Treves. The Surgical Treatment of Typhlitis, 1890, p. 12. 2 Bennett, W. H., and Rolleston, H. D. Abnormal Arrangement of the Ileo-Ctecal Portion of the Intestine. Journal of Anatomy and Physiology, XXV.,1891, p. 87. C 34 Abnormal Arrangement at Ileo-ccecal
. A contribution to the pathology of the vermiform appendix . ation ofthe condition described by them. In such cases the caecum is small and of a foetal vermiform appendix arises from the apex of the caecum,and has usually a distinct mesentery. The caecum lies high upover the right kidney, not having descended into the right iliac 1 Treves. The Surgical Treatment of Typhlitis, 1890, p. 12. 2 Bennett, W. H., and Rolleston, H. D. Abnormal Arrangement of the Ileo-Ctecal Portion of the Intestine. Journal of Anatomy and Physiology, XXV.,1891, p. 87. C 34 Abnormal Arrangement at Ileo-ccecal Region. fossa. The peritoneum passes over it and binds it down, justas it normally fixes the ascending colon. No mesentery is foundat the lower few inches of the ileum, the peritoneum passingdirectly over and fixing it to the back of the abdominal fixed ileum curves upwards over the right iliacus muscleand opens into the caecum. This condition, in a somewhat less degree than is shown inthe accompanying illustration, is not of exceeding rarity. I. Fig. 11, showing an Abnormal Arrangement of the Ileo-Csucal Portion of theIntestine (Bennett and Rolleston.)—II. Ileum with a normal mesentery. II. x Lowerfive inches of ileum devoid of mesentery. C. Ciecum. Va. Vermiform appendix. have met with a number of examples in the Post-Mortem Theatreof the Manchester Royal Infirmary during the last two years,where the lower few inches of the ileum had no mesentery, butwere firmly fixed down to the posterior wall of the abdomen. Dr. Rolleston, among the details of the cases Avhich he hasbeen good enough to send me, mentions 21 instances in which Malposition due to Foetal Peritonitis. 35 he found several inches of the lower end of the ileum bounddown to the posterior abdominal wall and devoid of many instances the caecum lay high above its usual one case it was close to the liver; in another it was directlyover the right kidney, and the lower five inches of t
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