The Medical Age, 1905, Vol. 23

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Excerpt from The Medical Age, 1905, Vol. 23: A Semi-Monthly Journal of Medicine and Surgery For practical purposes we may. Recognize (1) ordinary catarrhal scolecitis, similar in etiology and nature to general typhlitis or colitis. It is scarcely worth while to answer such extreme surgeons as deny the existence of catarrhal conditions of the appendix and czecum, as they adduce no proof that the mucous membrane of this particular region is immune to the general pathology of mucous membranes. An interstitial in¿am mation or degeneration similar to that which occurs in-the sub mucous tissues elsewhere, and necessarily leading to stricture unless absolutely uniform in its progression. If the strictures are mild in' degree, this process is favorable as tending to atrophy. (3) Acute in¿ammations, essentially bacterial, which may be limited to the mucous membrane, with discharge of muco-pus into the intestine, which may produce phlegmonous in¿ammation of the appendix itself with discharge internally or into the peri toneum, or which may induce gangrene. While perforation may occur through a normal-or slightly in¿amed appendix, by _the pressure of a calcareous mass, lumbricoid, etc., or by actual traumatism by a pin, sharp bristle, spicule of glass, etc., such an accident is no more preventable for the appendix than for the intestine generally, and medically speaking, septic inflammation is to be regarded as the cause of a perforation of the appendix. Gangrene may arise as the result of infarction - embolic or throm botic - or possibly angiospasm, as in the stomach, independently of acute inflammation, or the appendix may become stran'gulated in an adhesion, but usually gangrene is a sequela of in¿ammation of acute grade. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.