Appendicitis : its pathology and surgery . >• Fig. 34.—Stenosis of appendix. Peritubular inflammation. Dilatation of lympspaces. This appendix was herniated into the ileo-colic fossa. x Fig. 35.—Distal end. To the right are the lumen and its contents, to the leftthe wall of the appendix, devoid of epithelium or glands, ulcerated andpenetrated by bacteria. x 1000. t28 APPENDICITIS or gangrene of the appendix. A case of acute strangulationof the appendix in the ileo-caecal fossa has been brieflydescribed by Mr. Heaton. The patient was a girl, set. had had repeated acute attacks
Appendicitis : its pathology and surgery . >• Fig. 34.—Stenosis of appendix. Peritubular inflammation. Dilatation of lympspaces. This appendix was herniated into the ileo-colic fossa. x Fig. 35.—Distal end. To the right are the lumen and its contents, to the leftthe wall of the appendix, devoid of epithelium or glands, ulcerated andpenetrated by bacteria. x 1000. t28 APPENDICITIS or gangrene of the appendix. A case of acute strangulationof the appendix in the ileo-caecal fossa has been brieflydescribed by Mr. Heaton. The patient was a girl, set. had had repeated acute attacks of appendicitis. Theappendix was 5 inches long and only its distal end was caughtin the I shall now briefly give the notes of another case ofstenosis of the appendix, and contrast it with the previous helps, I think, to account for some of the clinical differenceswhich are met with in recurrent appendicitis. Case 34.—Appendicitis with Obliteration of Lumen—Recurrent Appendicitis after Interval of Fifteen Years.—Thepatient was a widow, aged fifty-four years. She usuallyenjoyed good health, but latterly menstruation had becomeirregular. The first attack of appendici
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