Abstract

That the appendix is extremely variable in its location, and that abscesses formed about it may occupy areas widely remote from the usually described appendicular region, are facts which the surgeon who has operated often in cases of appendicitis has frequently encountered. Attempts have already been made, particularly by Gerster (New York<i>Medical Journal</i>, July, 1890) and v. Sonnenberg (<i>Deutsch Zeitsch. für Chir.</i>, Bd. XXXVIII, Heft. 2 u. 3) to classify these abscesses according to location, accessibility, etc. Gerster describes five types of these abscesses, classified according to the point where they come in immediate contact with the abdominal wall, and are accessible to the knife without traversing the free peritoneal cavity: <i>Ilio-inguinal Type</i>—The abscess lying anterio, externally beneath the parietal layer. <i>Anterior Type</i>—Lying more internally, in direct contact with the anterior abdominal wall. <i>Posterior Type</i>—Lying in contact with the posterior peritoneal wall. <i>Rectal Type</i>—Accessible through

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