. Surgery, its principles and practice . Fig. 423.—Showing Early Complete Gan- GHENB OF THE EnTIRE WaLL WITHOUT Stone. Fig. 424.—Showing Early Complete Gan-grene OF THE Entire Wall withoutStone. ?pelvis, and particularly in children, is rectal examination of great diag-nostic value. In the severe cases in which the pathologic process advances towarddestruction, the patient assumes the jades ahdominalis, which is a positiveindex as to the severity. Frequent urination is not an uncommonsymptom and urinary retention is not infrequently present. In atypicalcases, especially when one fails to make
. Surgery, its principles and practice . Fig. 423.—Showing Early Complete Gan- GHENB OF THE EnTIRE WaLL WITHOUT Stone. Fig. 424.—Showing Early Complete Gan-grene OF THE Entire Wall withoutStone. ?pelvis, and particularly in children, is rectal examination of great diag-nostic value. In the severe cases in which the pathologic process advances towarddestruction, the patient assumes the jades ahdominalis, which is a positiveindex as to the severity. Frequent urination is not an uncommonsymptom and urinary retention is not infrequently present. In atypicalcases, especially when one fails to make a careful microscopic urinalysis,error in diagnosis in favor of a genito-urinary disease is not symptom is manifest when the appendix is situated in the pelvis,the bladder being directly irritated by the inflamed appendix or by theinflamed tissues surrounding it. Occasionally the frequency in micturi- 756 SURGERY OF THE APPENDIX VERMIFORMIS. tion is due to some sympathetic disturbance. In the chronic form ofappendici
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