Appendicitis : its pathology and surgery . tosay whether the appendix is actually perforated, because anaccidental tear in the wall of an inflamed appendix may looklike a perforation. But the point is not of much importance,because it is now well known that, in acute infective appendi-citis, the bacteria reach the peritoneum from the interior ofthe appendix without the smallest solution of continuity. Theforegoing cases show how the passage of bacteria begins; thefollowing, how it proceeds. Case 12.—-Appendicitis with Ulceration of Mucosa—Rela-tion of Ulcer to Hiatus Muscularis—Peri-appendicul
Appendicitis : its pathology and surgery . tosay whether the appendix is actually perforated, because anaccidental tear in the wall of an inflamed appendix may looklike a perforation. But the point is not of much importance,because it is now well known that, in acute infective appendi-citis, the bacteria reach the peritoneum from the interior ofthe appendix without the smallest solution of continuity. Theforegoing cases show how the passage of bacteria begins; thefollowing, how it proceeds. Case 12.—-Appendicitis with Ulceration of Mucosa—Rela-tion of Ulcer to Hiatus Muscularis—Peri-appendicular Abscess. —Within the short space of fifteen months, Miss ?, aged forty-five years, had four attacks of appendicitis. I saw hertowards the end of the last, which had been brought on byexposure to cold night air. It was accompanied with vomit-ing, constipation, abdominal distension, a temperature of 102°F., acceleration of the pulse, and great pain and tendernessover the right iliac fossa, where an ill-defined tumour was Fig. 14.—-Abscess cavity, bounded by infected peritoneum (see Fig. 15). The remainsof mucous membrane and of the lumen are below ; the abscess cavity above, x 6.
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Keywords: ., bookcentury1900, bookdecade1900, bookpublisherlondo, bookyear1901
