Perityphlitis and its varieties : their pathology, clinical manifestations, and treatment / by Frederick Treves.

  • Treves, Frederick, 1853-1923.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Perityphlitis and its varieties : their pathology, clinical manifestations, and treatment / by Frederick Treves. Source: Wellcome Collection.

    23/70 (page 19)
    ♦1,* Inner It is possible that certain of these abscesses are burst, supposing; iu following as the result of an inquiry into tiZ&LTXX*. ,4- « Nominal narietes in 15 it entered the caecum, and in b the geneiai £S I- « 6 reXTl6S tht6 Ir^C-ina; Lrax, rectum, and bladder, in 2 cases of each respectively The pus may pass down the thigh, and very closely imitate a psoas, at,sc*. It may extend in front of the hip-joint and produce symptoma a^ AoBerf hip disease j indeed I have seen a case ma boy in which ^ ^ had been made. The pus has even made its way into the hip:Jomt, and 111 her Stances has laid bare the bone of the iliac fossa. It has oto made its way into the pelvis, and has produced some of the varied and manifold symptoms of pelvic abscess Again it has passed down a hernial sac, and made its escape through the skm of the scrotum. Etiology.—Some features in the etiology of perityphlitis have been already indicated in the preceding section. Perityphlitis represents the verv commonest variety of peritonitis, and the remarkable frequency of inflammation in this position is due to the fact that the appendix is one of the weakest points within the abdomen. It has been estimated by pathologists that in 20 per cent of the bodies examined in the post- mortem room some evidence of disease of the appendix will be found. Certainly the same cannot be said of any other organ within the abdomen. . Inheritance.— Heredity is not easy to demonstrate m a disease so common as that under consideration, but it is impossible not to be struck with the fact that perityphlitis runs often in families. I have met with a family among whose members were five subjects of peri- typhlitis. I have also noticed that the association of this affection in families is not so often that of parent and child as of brother and sister. This has seemed to me to be the most common coincidence. Age and Sex.—Perityphlitis may be met with in patients of all ages. Tenger reports a case in an infant aged seven weeks. It led to a fatal peritonitis. Cases have been recorded in children respectively seven and thirteen months of age. On the other hand, the disease has been met with in patients of advanced age; one of my own patients was an old edentulous man who had his first attack at the age of seventy- two. Several cases have been recorded in still older persons. _ The greater proportion of the cases occur in young adults, and the period of greatest frequency is between ten and twenty. The following table is compiled from the cases collected by Dr.