Attachment of the tip of the appendix to the bladder with rupture into this organ has been reported by Judd, but I am unable to find any case, noted at operation, in which the appendix tip was attached to the intestine and communicating with its lumen.
Careful search of the literature reveals three cases found at necropsy: one by Thoyer,1 in which the cause of death was cancer of the rectum; one by McDonald,2 in which the cause of death is not given, and one by Pohlman,3 in which the cause of death was pulmonary tuberculosis.
REPORT OF CASE
R. H., a farmer, aged 28, whose history as to previous disease was negative, had a typical attack of acute appendicitis in December, 1922, as reported by his family physician, at which time operation was advised. Two weeks before I saw him he had an attack of pain