Appendicitis : its pathology and surgery / by Charles Barrett Lockwood.

  • Lockwood, Charles Barrett, -1914.
Date:
1906
Catalogue details

Licence: In copyright

Credit: Appendicitis : its pathology and surgery / by Charles Barrett Lockwood. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    APPENDICITIS WITH STENOSIS AND ITS COMPLICATIONS CYSTS MUCOCELE—EMPYEMA ULCERATION AND BACTERIAL IN- VASION OF MUCOSA PEPJ-APPENDICITIS PORTAL PYAEMIA We now come to appendicitis with stenosis, and its effects. As the result of inflammatory cicatrisation one, two, or more strictures may develop at intervals along the appendix. Usually the constriction is so local that it looks as though a fine thread had been tightly tied round the tube. The stricture is caused in most instances in the same manner as a urethral stricture—by the organisation and cicatrisation of inflammatory lymph in the submucous and subperitoneal tissue. I believe that narrowing is less fre- quently caused by the cicatrisation of an ulcer, which is asserted by some to be its ordinary mode of formation. The lumen beyond the constriction is usually dilated. The mucous lining may be intact, altered, or destroyed. The contents may be mucus, pus, bacteria, or concretions. There is another class of cases in which the inflammatory process causes obliteration of the whole lumen of the appendix. This is supposed to be the last stage in the natural process of cure, but the few cases which I have seen throw doubt U] ton this assumption (Case 3 7, p. 133). The following case of stenosis of the appendix shows that, a month after a rather severe attack of appendicitis, no bacteria may be present in the interior of the appendix, in its walls, or in the inflamed omentum. Incidentally, the im- portance of the rectal examination is illustrated, because the mere examination of the iliac fossa or front of the abdomen
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