I shall only report the histories of a few cases that have recently come under my care and not undertake to give an extensive digest of the history of appendicitis and its treatment.
Case 1.
—T. R., male, aged 17 years, a farm hand, had been taken at about 8 A.M. with severe cramp-like pains in the abdomen, on the right side, low down, two days before coming to the Cooper Hospital. On the day I first saw him he was suffering great pain in the right iliac region. There was some distention of the abdomen, a history of constipation, a tendency to lie with the right thigh flexed on the abdomen, marked tenderness over the region of the appendix, together with tension of the abdominal muscles of the right side, and a mass could be outlined beneath the muscular wall in this region. There was some rise of temperature