The rarity of an extreme displacement of the appendix leads us to report this case, believing that it may be of interest and value to the profession.
REPORT OF CASE
—H. C., American laborer, aged 38, gave the history of having had indigestion and obstinate constipation for five years. During this period he also had felt nearly constant but mild pain in the right abdomen above McBurney's point. He had never had a typical attack of appendicitis, but said that often during his work and at night, a sudden sharp pulling pain would occur, always located about 2 inches above McBurney's point and radiating upward to the ensiform cartilage, where it would center for ten or fifteen minutes. He had lost 45 pounds in weight in five years and had been treated for various stomach disorders. Otherwise his history was negative.April 15, 1918, the pain described above was