Appendicitis / by A. H. Tubby.

  • Alfred Tubby
Date:
1900
Catalogue details

Licence: In copyright

Credit: Appendicitis / by A. H. Tubby. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    cases. But it is doubtful if any classification can effect this. Treves suggests the following grouping of cases : 1. An ordinary attack, the case ending in resolution. 2. An ordinary attack, the case ending in suppuration. 3. An attack of the mildest type. 4. A most intense and acute attack. 5. Certain peculiar forms of perityphlitis. But as it is impossible at the beginning of an attack to foretell the course it will take, it is evident that this can merely be of descriptive value and of nothing more, and this Treves acknowledges. CHAPTER II. ANATOMY OF THE PARTS CONCERNED. The most careful and thorough descriptions of the appendix and its relations have been furnished by Treves, Bryant,1 G. R. Fowler,2 Lockwood, and Rolleston.3 The parts needing description are the caecum and appendix, and the arrangement of the peritoneum in the neighbourhood. Anatomy of the Caecum and Appendix.—From a comparative point of view, the caecum of man occupies an intermediate position between that of the herbivora and carnivora. In the former the caecum is of great length ; in the latter it is small, and sometimes absent. In man a compromise is made between these two conditions. The distal part of the long caecum of herbivora has ceased to develop early, and this distal part forms the appendix, while the proximal part is the normal caecum of man. Any structure in the body which fails to attain its full develop- ment is always liable to degenerations of various descrip- 1 Annals 0] Surgery, February, 1893. 2 Med. News, Philadelphia, 1893.
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