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Much to my surprise my colon looked just as mangled and dysfunctional as everyone else's', only somewhat worse because it had a loop in the descending colon similar to a cursive letter "e" which doctors call a volvulus. Surgeons like to cut volvululii out because they frequently cause bowel obstructions. It seemed quite unfair.
The diseases that appendicitis may be confounded with and must be differentiated from are obstruction, renal colic, hepatic colic, gastritis, enteritis, salpingitis, peritonitis due to gastric or intestinal ulcer, enterolith, obstipation, invagination or intussusception, hernia, external or internal, volvulus, stricture and typhoid fever.
Especially is this true when it is a positive fact that all typhlitic and appendicular abscesses will open into the bowels if allowed to do so. In this ease I reasoned as follows: This must be a case of abscess, for the signs of obstruction are not those of complete obstruction, such as are seen in hernias, volvulus, constricting bands and many other causes not necessary to mention.
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