unless the cavity is cut into, cleaned and properly drained death
will take place in a very short time. I say death is inevitable
without surgical treatment. In this I appear to be more radical than
the most radical, for the best authors have much to say about
perforation, diffuse peritonitis, and of patients who live after
perforation, as though it were a common occurrence; I say they are
mistaken.





CHAPTER II




_History: _Appendicitis did not become popularly known until about
twenty years ago--not till it was christened and baptized in the
blood of the surgical art. Of course the appendix has always been
subject to inflammation, just as it is now, but in former years the
disease we call appendicitis bore various names, depending upon the
diagnostic skill of the attending physician. Typhlitis and
perityphlitis were the names used to designate the disease now
covered by the word appendicitis.

The diseases that appendicitis may be confounded with and must be
differentiated from are obstruction, renal colic, hepatic colic,
gastritis, enteritis, salpingitis, peritonitis due to gastric or
intestinal ulcer, enterolith, obstipation, invagination or