. Surgery, its principles and practice . ^ careful examination. As the periappen-dical tissues become involved and the quantity of infective materialincreases, the tumor becomes more pronounced and often attains con-siderable size. This is usually located in the right iliac fossa, but itsabsence from that position, with a clinical history indicating an appendi-citis, must not be construed as meaning that the tumor is not present;it will be found in the loin or low in the pelvis. Fluctuation is present only when there is a large circumscribed abscessin the later stages of the disease. In the ea
. Surgery, its principles and practice . ^ careful examination. As the periappen-dical tissues become involved and the quantity of infective materialincreases, the tumor becomes more pronounced and often attains con-siderable size. This is usually located in the right iliac fossa, but itsabsence from that position, with a clinical history indicating an appendi-citis, must not be construed as meaning that the tumor is not present;it will be found in the loin or low in the pelvis. Fluctuation is present only when there is a large circumscribed abscessin the later stages of the disease. In the early stages the absence of.
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