Appendicitis : its pathology and surgery . Fig. 31. —The appendix beyond the constriction shown in Fig. epithelial lining is almost perfect. x 20. with dilated follicular lymph paths and dilated lymphatics inthe submucosa; but the epithelium, lining the lumen andtubular glands, was almost perfect, and merely had an abund-ance of goblet cells (see Fig. 31). One cannot but wonder how long streptococci had in-habited this appendix, and what might have happened hadthe mucosa been ulcerated. The pathology of erysipelas teachesus that streptococci invade the lymphatic system, but none See Lec
Appendicitis : its pathology and surgery . Fig. 31. —The appendix beyond the constriction shown in Fig. epithelial lining is almost perfect. x 20. with dilated follicular lymph paths and dilated lymphatics inthe submucosa; but the epithelium, lining the lumen andtubular glands, was almost perfect, and merely had an abund-ance of goblet cells (see Fig. 31). One cannot but wonder how long streptococci had in-habited this appendix, and what might have happened hadthe mucosa been ulcerated. The pathology of erysipelas teachesus that streptococci invade the lymphatic system, but none See Lectures on Traumatic Infection, Fig. 20, p. 92. via STENOSIS AND ITS COMPLICATIONS 119 could be found in these dilated lymph paths or absence may have been owing to the fact that thespecimen was obtained during a period of quiescence. Thatthe dangers of such an invasion are not imaginary isdemonstrated by the following. Case 31.—Appendicitis with Stenosis {Streptococcic Ap-pendicitis)— Ulceration of Mucosa—Bacterial
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