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WITH A NOTE ON ITS ROLE IN ACUTE APPENDICITIS

S. H. GRAY, M.D.; CARL J. HEIFETZ, M.D.

Arch Surg. 1937;35(5):887-900.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In the routine examination of appendixes removed at operation we were impressed by the unusual richness of the lymphoid tissue as the prominent histologic feature in a group of cases presenting the clinical syndrome of a mildly acute, subacute or recurrent appendicitis. Our studies led us to believe that hyperplasia of lymphoid tissue, either focally or diffusely, may cause sufficient obstruction in the narrowlumened appendix to produce symptoms simulating appendicitis. Furthermore, in reviewing a series of cases of pathologically early acute appendicitis, we felt that here, too, the hyperplasia of the lymphoid tissue might be a factor of prime etiologic importance.

Lymphoid hyperplasia of the appendix has been described by Wätzgold,¹ Klemm,² Miloslavich,³ Stout,⁴ Moschcowitz,⁵ Barss,⁶ Symmers and Greenberg⁷ and Smith.⁸ Most of these investigators considered it a phase of status lymphaticus. Smith thought that it constituted a definite clinical entity.

Since . . . [Full Text PDF of this Article]

Author Affiliations
ST. LOUIS

From the Laboratory of the Jewish Hospital.

Footnotes
This work was aided by a gift in memory of Mrs. Carrie Scott Johnson.

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