Appendicitis : its pathology and surgery . uch, or of the recto-vesical pouch, tends to becomehemmed in by a covering of adherent intestines. The recessto the right of the caecum is also favourable to localisation. In the second place, something depends upon the infectingorganisms. I have given, elsewhere,1 some account of strepto-coccic peritonitis. In this, the inflamed peritoneum looks asif it had been oiled, and its cavity contains some thin odour-less pus. The inflammation is diffuse, involves a large area,and has little tendency to become circumscribed. The inflamed surfaces adhere to on
Appendicitis : its pathology and surgery . uch, or of the recto-vesical pouch, tends to becomehemmed in by a covering of adherent intestines. The recessto the right of the caecum is also favourable to localisation. In the second place, something depends upon the infectingorganisms. I have given, elsewhere,1 some account of strepto-coccic peritonitis. In this, the inflamed peritoneum looks asif it had been oiled, and its cavity contains some thin odour-less pus. The inflammation is diffuse, involves a large area,and has little tendency to become circumscribed. The inflamed surfaces adhere to one another, but are easilyseparated. In sections, the peritoneal vessels and lymphaticsare engorged, and the surface covered with a little lymphmingled with vast quantities of streptococci. In places, thechains of cocci penetrate the substance of the peritoneum as 1 Hunterian Lectures on Traumatic Infection, Edinburgh and London,1896, p. 19 et seq., Figs. 4 and 5. PERITONITIS id9 far as the subperitoneal fat (see Figs. 43, 44). I have also. Fig. —Streptococcic peritonitis. Lymph upon the surface of the described another form of peritonitis 2 in which the inflamed
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