The case here reported is presented because of the unusual dimensions and weight of the pathologic appendix and because its weight is greater than that of any other that has been reported in The Journal.
We were called to Olalee, Ala., to see Mrs. J. B. W., aged 68, white, whose chief complaint was "pain and a tumor in the right side." The patient had been married forty years and had had several children, without miscarriages. She had always been in good health, except that she occasionally suffered from indigestion without pain—just eructation of gas.
Wednesday, Aug. 5, 1927, the patient went to bed as usual but was awakened about 11 p. m. by colicky pains all over the abdomen. She was nauseated but did not vomit; she slept some but very little after 11 p. m. The bowels acted three times Thursday night from a dose of sodium phosphate that she took