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Review of Appendicitis in a Small Hospital

C. HERBERT FREDELL, MD

AMA Arch Surg. 1964;88(2):209-212.

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

Ingested foreign bodies continue to produce a variety of problems. One of the rare problems that an ingested foreign body causes is acute appendicitis with perforation.

The early writings about appendicitis centered almost exclusively around foreign bodies in the appendix. In 1735 Claudius Amyand performed the first successful appendectomy that has been recorded.³ In this initial report, the etiology of the perforation of the appendix was thought to be the pin that was encrusted with stone within the appendix. In 1921, Mahoney⁶ reviewed 160 years of the literature and found only 40 cases where a pin was present in the appendix. Collins⁴ reported a pathological study of 50,000 appendices, of which 90% were surgically removed. He found 638 unusual foreign bodies in the appendix, including 51 instances when it was a straight pin. Martin² reviewed 1,987 surgically removed appendices and found only one case with perforation . . . [Full Text PDF of this Article]

Author Affiliations
FLAGSTAFF, ARIZ

Chief of Surgery, Flagstaff Hospital.

Footnotes
Received for publication Sept 2, 1963.

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