Abstract The question as to what chronic appendicitis is and whether it ever exists has long since become trite. That there is a clinical entity consisting of a chronic disorder of the appendix is believed by most surgeons. Many appendixes continue to be removed because of so-called "chronic appendicitis." If there were no virtue in this practice one would expect it to present indications of ceasing to be the vogue. Statistics compiled from studies of the after-histories of patients whose appendixes have been removed because the organs seemed to be chronic disturbers of the peace lead to various conclusions. Enough favorable reports1 have been given and sufficient observations have been made in their own practices to encourage the majority of surgeons to continue to remove appendixes because of chronic complaints. This is in spite of the fact that surgeons2 as well as pathologists freely admit that definite chronic inflammation References 1. Block, F. B.: Chronic Appendicitis: A Study of End Results , M. J. & Rec. 134:448 ( (Nov. 4) ) 1931. 2. Dickson, W. M.: Chronic Appendicitis , Brit. M. J. 1:184 ( (Feb. 3) ) 1934. 3. Letulle, M.: Surprises de l'appendicite chronique , Presse méd. 35:1521 ( (Dec. 14) ) 1927. 4. Steinberg, B.: Degenerative Lesions of the Appendix (Appendicosis) Hitherto Undifferentiated from Appendicitis , Am. J. Clin. Path. 1:339 ( (July) ) 1931. 5. Westphal, K.: Appendizitis und Kotstein als Folge gestörter Appendixfunktion , Deutsche med. Wchnschr. 60:499 ( (April 6) ) 1934. 6. Krenn, L.: Was leistet die Röntgenuntersuchung des Wurmfortsatzes? Wien. klin. Wchnschr. 47:778 ( (June 22) ) 1934. 7. Williams, B. W., and Boggon, R. H.: The Mechanics of Appendicitis , Lancet 1:9 ( (Jan. 6) ) 1934. 8. Koster, H.: Chronic Appendicitis , Arch. Surg. 16:44 ( (Jan.) ) 1928. 9. Bigelow, W. A.: A Study of Right-Sided Abdominal Pain in So-Called Chronic Appendicitis , Canad. M. A. J. 23:22 ( (July) ) 1930. 10. Friedricks, A. V.: The Etiology and Pathology of Appendicitis , New Orleans M. & S. J. 87:20 ( (July) ) 1934. 11. Deal, Don: Non-Surgical Chronic Abdominal Pain , Illinois M. J. 65:149 ( (Feb.) ) 1934. 12. Boggon, R. H., and Wrigley, A. J.: Rupture of Ovarian Blood-Cysts Simulating Acute Appendicitis , Lancet 2:1068 ( (Nov. 14) ) 1931. 13. Meigs, J. V., and Hoyt, W. F.: Rupture of the Graffian Follicle, the Corpus Luteum and Small Follicle or Lutein Cysts Simulating Appendicitis , Am. J. Obst. & Gynec. 25:532 ( (April) ) 1933. 14. Horsley, J. G., and Warthen, H. J., Jr.: The Pathogenesis and Symptoms of Chronic Obliterative Appendicitis , Ann. Surg. 96:515 ( (Oct.) ) 1932. 15. Bower, J. O.: Appendicitis in Philadelphia , J. A. M. A. 102:813 ( (March 17) ) 1934. 16. Warnock, F. B.: Leucocyte Count and Histopathology in Acute Appendicitis , Am. J. Surg. 21:47 ( (July) ) 1933. 17. Butka, H. E.: Chronic Appendicitis , California & West. Med. 26:467 ( (April) ) 1927. 18. McClure, R. D.: Chronic Appendicitis , Ann. Surg. 94:203 ( (Aug.) ) 1931.
Archives of Surgery – American Medical Association
Published: Nov 1, 1935