. A contribution to the pathology of the vermiform appendix . Mesentery of the ascendingcolon. Sometimes the vermiform appendix, while having a retro-csecal position, is more or less bent on itself. In one case Ifound the appendix ascending for 2in. behind the caecum and 1 Manchester Royal Infirmary Post-mortem ReportsâSurgical, Vol. 1892, p. 148,No. 153. The preparation has also been added to the Pathological Museum ofThe Owens College, No. 1,848. 2 Bland Sutton. Trans. Chir. Society Loncl., XXIV., 1891, p. 119. 40 lletro-coical Positions of the Ajypendix. ascending colon, and then becoming a
. A contribution to the pathology of the vermiform appendix . Mesentery of the ascendingcolon. Sometimes the vermiform appendix, while having a retro-csecal position, is more or less bent on itself. In one case Ifound the appendix ascending for 2in. behind the caecum and 1 Manchester Royal Infirmary Post-mortem ReportsâSurgical, Vol. 1892, p. 148,No. 153. The preparation has also been added to the Pathological Museum ofThe Owens College, No. 1,848. 2 Bland Sutton. Trans. Chir. Society Loncl., XXIV., 1891, p. 119. 40 lletro-coical Positions of the Ajypendix. ascending colon, and then becoming acutely Hexed outwards,and directed downwards for another l^ In the Pathological Museum of The Owens College there isan interesting specimen- of the csecum, ileum, and appendix,from a young subject, where the appendix, some three inchesin length, is closely adherent to the posterior wall of the cajcum,and completely out of sight when the preparation is viewedfrom the front. Treves found a retro-ca3cal appendix in 18 per cent of thebodies he Fig. 15.âKetro-ctccal position of the vermiform appendix. (Bland Sutton.) I have referred somewhat at length to this exceptional posi-tion of the vermiform appendix, not merely because it is one ofanatomical interest, but because I am convinced it may be ofthe greatest pathological and clinical importance in certain casesof inflammation occurring in an appendix so situated. Shouldlocalised suppuration originate in connection with such an 1 This preparation has been added to the Pathological Museum of The OwensCollege, No. 1857. 2 Pathological Museum of The Owens College, No. 1869. Abnormal Variations in Position. 41 appendix, it might readily be mistaken for a peri-nephriticabscess; and judging from a case where the appendix lay behindand to the inner side of the gall bladder, it seems very possiblethat suppurative appendicitis in such a case would closelysimulate a suppurative condition of the gall bladder, or even anabscess
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