Licence: Public Domain Mark
Credit: Peri-caecal inflammation. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![[Discussed December 14, 1887.] Morbid Anatomy. By J. H. MUSSER, M.D. Much confusion appears to exist in regard to the nomenclature of the inflammatory affections of the region we are about to consider. It may, therefore, be well to state the meaning of the various terms which Avill be used in this discussion. By typhlitis we shall under- stand inflammation of the csecum ; by peri-typhlitis, inflammation of the peritoneum covering the csecum ; by para-typhlitis, inflammation of the connective tissue behind the csecum. The term typhlitis is often used to include inflammation both of the csecum and of the appendix. We shall, as suggested by Dr. Fitz, use the term appen- dicitis for inflammation of the appendix, appendicular peritonitis for inflammation of the appendix and its serous covering, and para- typhlitis for inflammation of the connective tissue around the appendix, or, if you please, peri-csecal inflammation. It is well to know the relative importance of the inflammatory affections in this portion of the intestinal tract. Typhlitis has been considered by systematic writers to be a frequent affection, and yet it is difficult for pathologists to find the records of autopsies in which this condition has been found. It is true that some writers, especially the Germans, have described cases, particularly of stercoral typhlitis, in which inflammation and ulceration of the mucous membrane of the csecum, by pressure from fecal impaction, was present. Most of us will, however, agree with Fagge that typhlitis is a good general expression used for all varieties of inflammation occurring in the right iliac fossa, but that in the majority of cases the correct term should be appendicitis. Fagge relates a case of Williams' in which the patient had all the symptoms of peri-typhlitis with a tumor in the right iliac fossa. He was](https://iiif.wellcomecollection.org/image/b22273414_0005.jp2/full/800%2C/0/default.jpg)
