. Surgery, its principles and practice . dicitis. Intestinal parasites may find entrance into the appendix and producean inflammatory reaction. The ordinary round-worms have been re-peatedly found. The echinococcus was found in the appendix bv Schollerand Birch-Hirschfeld. Still, in two hundred autopsies in children under TYPHLITIS, PERITYPHLITIS, EPITYPHLITIS. 745 twelve years, found the oxyuris in thirty-eight cases, it being presenttwenty-five times in the appendix. Hoppe-Seyler reported a case of amebic enteritis in which the amoebacoH produced an inflammatory reaction in the appendix. Neo
. Surgery, its principles and practice . dicitis. Intestinal parasites may find entrance into the appendix and producean inflammatory reaction. The ordinary round-worms have been re-peatedly found. The echinococcus was found in the appendix bv Schollerand Birch-Hirschfeld. Still, in two hundred autopsies in children under TYPHLITIS, PERITYPHLITIS, EPITYPHLITIS. 745 twelve years, found the oxyuris in thirty-eight cases, it being presenttwenty-five times in the appendix. Hoppe-Seyler reported a case of amebic enteritis in which the amoebacoH produced an inflammatory reaction in the appendix. Neoplasms, either benign or malignant, may be found in the appendix; amongthe former, polypi, myomata, fibromata, myxomata, and lipomata;* among thelatter carcinoma, sarcoma, and endothelioma, either primary or secondary. In diseases of the lymphoid organs—Hodgkins disease, for example—thelymphoid follicles of the appendix may be involved, as was shown by Hektoen. Carcinoma of the appendix is not common if we judge from the post-mortem. Fig. 417.—Showing Fibrino-purulent Peritonitis Localized. records of various large institutions. It is no doubt often overlooked on the operat-ing as well as on the post-mortem table, since the lesions are usually of small , in an analysis of 20,480 autopsies performed at the Vienna General Hospitalfrom 1870 to 1881, found only one case of carcinoma of the appendix among onehundred cases of carcinoma of the intestinal tract. In 20,358 autopsies analyzedby Nothnagel in the interval from 1882 to 1893, there was one case of carcinomaof the appendix among two hundred and forty-three cases of carcinoma of theintestinal tract. Leichtensterns clinical and post-mortem records show three casesamong seven hundred and seventy. * Benign tumors are not common. Deaver found two cases of one case the patient had fibromyomata of the uterus. 746 SURGERY OF THE APPENDIX VERMIFORMIS. At present there are on record about forty cases of
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