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Updated: April 30, 2025
The patient was a girl of eighteen, who had previously had perityphlitis, followed by abscesses about the navel and lumbar region. Two fistulae were found in the right loin, and were laid open into one canal, which, after partial resection of the 12th rib, was dilated and traced inward and upward, and found to be in connection with the stomach.
Typhlitis and perityphlitis were the names used to designate the disease now covered by the word appendicitis.
This operation has for some time been the largest single item of revenue for the profession. Thirty-four years ago I was called in consultation to see my first case of what was then generally recognized as perityphlitis or typhlitis inflammation of the connective tissue about the cecum. It was a typical case of what is today called appendicitis.
He was waiting for us in the hall of the hotel when we arrived, and Kitty and I took him into our sitting-room and, parent-like, begged to be told "the worst." The doctor a dour and deliberate Scot declined to be positive, but "doubted" it might be perityphlitis. "Appendicitis is a more fashionable term," he added.
The old text-book description of typhlitis and perityphlitis is so similar to the description of the present day appendicitis that it is not necessary to reproduce it. The symptoms given show conclusively that they are really one and the same.
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