PRIMARY TYPHLITIS SIMULATING APPENDICEAL ABSCESS AND ILEOCECAL TUBERCULOSIS.

The following case is deemed worthy of a detailed report on account of the paucity of the literature regarding primary typhlitis and the consequent difficulties in diagnosis which it presents, and on account of the unusual complications in the present case. None of the works on appendicitis or on diseases of the intestines or the general works on surgery give any adequate account of this trouble. Hemmeter gives only two sources of ileocecal tumor not due to primary appendicitis, i. e., cecal tuberculosis and carcinoma of the cecum. Eisendrath in his recent work on "Surgical Diagnosis" adds a third, ileocecal actinomycosis. Dr. Clarence A. McWilliams, in a paper read before the New York Surgical Society, Feb. 27, 1907,¹ under the title "Primary Typhlitis Without Appendicitis," gives the history of a case very similar to mine in which he assumed that the cecal tumor was either tubercular or carcinomatous, and