Abstract
Two years ago I called attention to the fact that in chronic appendicitis, though unsuspected, a continuous firm pressure with the ends of the first three fingers over McBurney's point frequently induced distress or pain in the epigastrium.<sup>1</sup>Recently, while examining a case of chronic appendicitis with the Roentgen fluoroscope, I was surprised to find that I was able to induce a pylorospasm by this pressure over the appendix. The pressure also produced the reflex pain in the epigastrium of which the patient complained. I am inclined to believe that this pain was due to spasm of the pylorus. I wish to report the following case: Miss L., aged 23, American, with negative family history, had had mastoiditis on the left side two years before. She had stomach trouble for three or four years, with an acute attack, sixteen months before, of epigastric pain and nausea, not associated with
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