The Probert Encyclopaedia of Medicine

APPENDICITIS

Appendicitis is a disease which became well-known during the 19th century. It consists in inflammation of the vermiform appendix of the large intestine, a somewhat wormlike hollow body, several inches long, projecting from and opening into the intestine, but closed at the opposite extremity. In appendicitis proper the inflammation begins in the appendix and spreads to neighbouring parts, and thus the disease is sometimes included under the term perityphlitis, which more strictly belongs to inflammation connected with the caecum, and not necessarily with the appendix.

Appendicitis is usually set up by more or less hard bodies that become lodged in the appendix, especially particles of food that have not been sufficiently masticated. The disease may be very slight, lasting for a day or two, and accompanied with some pain and sickness; or it may take a severe and violent form, the result being death in a few hours. Death may also occur at a longer interval, when an abscess forms, which bursts into the abdominal cavity. There are also cases of chronic and of relapsing appendicitis, and in these removal of the organ is necessary. Some surgeons resort to removal of the appendix in all cases of the disease. The usual symptoms are such as pain in the belly, especially low down on the right side, fever, constipation, nausea, and vomiting. Early remedies were such as rest in bed, hot fomentations or poultices applied to the belly, with opium to relieve pain, food being given in small quantities, in the fluid form and hot. During the 20th century surgery became the preferred treatment, the appendix being cut out by a surgeon.
Research Appendicitis