A contribution to the pathology of the vermiform appendix / by T.N. Kelynack, with illustrations and bibliography.

  • Kelynack, T. N. (Theophilus Nicholas), 1866-1944.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: A contribution to the pathology of the vermiform appendix / by T.N. Kelynack, with illustrations and bibliography. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    inflammatory condition; and Fen-all,1 in his article on Phlegmonous Tumours in the Right Iliac Region, published in 1831, although he refers to the condition of gangrenous appendicitis, considers the ca:cum by far the most common seat of any primary mischief. The following year Iliff2 published notes of a case of appen- dicitis caused by a raisin stone. As early as 1834 James Copland3 distinctly recognised true inflammatory conditions of the appendix as distinguished from those of the caecum and its surrounding connective tissue. In the same year, also, Corbett4 observed a case of peritonitis arising from impaction of a small calculus in the vermiform appendix. Much praise is due to Burne,0 who, in 1837, and again in 1839, clearly pointed out the important differences between the inflammatory conditions of the appendix and those of the caecum, and recorded a number of cases. He also introduced the term tuphlo-enteritis. Albers, in 1838/ also clearly indicated differences in the onset, progress, and general characters of typhlitis and peri-typhlitis, but he appears to have considered the appendix far less prone to be involved than the caecum. He, too, also recognised the fact that the appendix was found sometimes to communicate with the surrounding abscess cavity, but seems not to have appreciated its importance, but rather to have considered it as quite secondary. In 1839, Kowacz7 wrote his thesis on perforative ulceration of the vermiform appendix. Lees,8 in 1842, before the Pathological Society of Dublin, 1 Ferrall. Edin. Med. and Surg. Jour., July, 1831, p. 1. 2 Iliff. Lond. Med. and Surg. Jo'ir., I., 1832., p. 214. 3 Copland (James). Dictionary of Practical Medicine, I., p. 277. 4 Corbett. Dublin Med. Press, 1840, IV., p. 65. s Burne. Med. Chir. Trans., 1837, XX., 219. Ibid, 1839, XXII., p. 33. 6 Albers. Beobachtungen auf dem Qebiete der Path, und path. Anat. Bonn. 2ter Theil, 1838. 7 Kowacz. Peritonitis, ulcus processus vermiformi; perforatio. Prag., 1839, Thesis. 8 Lees. Dublin Jour. Med. Sci, 1843, XXIV., p. 278.