. A contribution to the pathology of the vermiform appendix . Reports—Medical. Vol. 1891, p. 680,.No. 207. Appendicitis with Tntra-peritoneal Abscess. 100 size and extent of the abscess cavity is thus seen to be very caecum and appendix, coated with puriform lymph and surroundedby much inflammatory matting, is fixed down to the posterior wallof the right iliac fossa. The appendix, very much thickened, presenteda well-marked perforation. It was short, and from its opening into thecaecum extended for a distance of 2 cm., when it opened directly into theabscess cavity. A large pr
. A contribution to the pathology of the vermiform appendix . Reports—Medical. Vol. 1891, p. 680,.No. 207. Appendicitis with Tntra-peritoneal Abscess. 100 size and extent of the abscess cavity is thus seen to be very caecum and appendix, coated with puriform lymph and surroundedby much inflammatory matting, is fixed down to the posterior wallof the right iliac fossa. The appendix, very much thickened, presenteda well-marked perforation. It was short, and from its opening into thecaecum extended for a distance of 2 cm., when it opened directly into theabscess cavity. A large probe could be readily passed from the caecumalong the lumen of the appendix, through the perforation, and so intothe intra-peritoneal abscess cavity. The extremity of the appendix,lcm. in length, was fixed to the caecum by old firm, tough, inflammatoryadhesions, and was quite separate from the proximal portion, an intervalof nearly lcm. intervening, where nothing of the appendix remainedsave a few shreds of soft, semi-gangrenous tissue. The opening of the. Fig. 20.—Showing the appearance and situation of the perforated appendix, from the case of Mary G . A.—Probe passing in at appendico cascal orifice from caDCum along the proximal portion of the vermiform appendix. B.—Adherent ter-minal portion of the appendix. C.—Cut and shrunken end of the ileum. D.—Ante-rior surface of the CEecum. E.—Cut end of the csccum as it passes up to continue asthe ascending colon. F.—Old inflammatory adhesions. appendix into the caecum was very distinct, being as large as a moderatesized pea, but no concretions or masses of hardened faces were detected,either within or around the appendix. 2 The accompanying illustrationshows the appearance and position of the thickened and perforatedappendix. The caecum internally appeared fairly normal. Stomach :Intensely congested ; numerous small purjctiform haemorrhages in walls. 1 The above woodcut is from a drawing kindly made for me by Mr. Win
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