. A contribution to the pathology of the vermiform appendix . so-colon. was short, and its meso-colon long, admitting of very free caecum was so movable that it could be thrown over to the outerwall of the lefc iliac fossa. The appendix was of the thickness of a quill,and the same size throughout, and free from all evidence of inflamma-tory change. Its upper extremity reached upwards almost to the lowersurface of the In Fig. 14 the retro-caecal position is further depicted, as 1 Manchester Royal Infirmary Post-mortem, Reports—Medical. Vol. 1891, The preparation has


. A contribution to the pathology of the vermiform appendix . so-colon. was short, and its meso-colon long, admitting of very free caecum was so movable that it could be thrown over to the outerwall of the lefc iliac fossa. The appendix was of the thickness of a quill,and the same size throughout, and free from all evidence of inflamma-tory change. Its upper extremity reached upwards almost to the lowersurface of the In Fig. 14 the retro-caecal position is further depicted, as 1 Manchester Royal Infirmary Post-mortem, Reports—Medical. Vol. 1891, The preparation has been added to the Pathological Museum of The OwensCollege, No. 1456. Retro-ccecal Positions of the Appendix. 39 recently seen in the case of a young adult examined at theRoyal The appendix was 4Mn. in length, andextended upwards almost to the liver. Mr. Bland Sutton2 has clearly pointed out the importanceof this retro-csecal position of the appendix, and through hiskindness I am here able to reproduce his very admirableillustration. (Fig. 15.). Fia. 14.—Retro-ccecal position of the vermiform appeodix. A.—Vermiformappendix. 0.—Coecum. A C.—Ascending colon. M.—Mesentery of the ascendingcolon. Sometimes the vermiform appendix, while having a retro-csecal position, is more or less bent on itself. In one case Ifound the appendix ascending for 2in. behind the caecum and 1 Manchester Royal Infirmary Post-mortem Reports—Surgical, Vol. 1892, p. 148,No. 153. The preparation has also been added to the Pathological Museum ofThe Owens College, No. 1,848. 2 Bland Sutton. Trans. Chir. Society Loncl., XXIV., 1891, p. 119. 40 lletro-coical Positions of the Ajypendix. ascending colon, and then becoming acutely Hexed outwards,and directed downwards for another l^ In the Pathological Museum of The Owens College there isan interesting specimen- of the csecum, ileum, and appendix,from a young subject, where the appendix, some three inchesin length, is closely adherent t


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectappendicitis, bookyea