APPENDICITIS COMPLICATING OVARIAN CYST AND SIMULATING TORSION OF THE PEDICLE, WITH THREE CASES.

Abstract

Appendicitis as a complication of an ovarian cyst and accompanied by symptoms strongly resembling those of torsion of the pedicle, does not seem to be of very frequent occurrence; at least I have failed to find any cases recorded in the literature at my disposal. This is my excuse for reporting the following cases which came under my observation and in which the symptoms were supposed to be due to an axial rotation of the tumor when, on the operating table, an appendicitis was discovered to be the disturbing element which led to a wrong diagnosis. Case 1. —Mrs. C., age 56 years, mother of nine children; one miscarriage; last confinement sixteen years ago, followed by fever; otherwise always healthy. Her present trouble dates from May, 1894, when she was seized with cramps in the abdomen and vomiting, which continued for several days. She had at times most of her