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PHLEGMONOUS CECITIS:  Report of Two Cases

W. L. RIKER, M.D.; R. K. GILCHRIST, M.D.; V. C. DAVID, M.D.
Arch Surg. 1949;58(6):772-779. doi:10.1001/archsurg.1949.01240030783005.
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THE DIAGNOSIS of cecitis or typhilitis was popular until appendicitis became recognized as a pathologic entity. After this it became the general opinion that every case of inflammation of the cecal region was secondary to appendicitis and many authorities denied the existence of primary cecitis as a disease entity.

Gradually more evidence is accumulating that primary inflammation in the cecum, though rare, may occur. Two patients were treated recently who had cecitis of two distinctly different types. The first had a typical circumscribed phlegmon of the cecum characterized by a severe, submucosal inflammation and presented the picture described in the following report.

REPORT OF CASES 

Case 1.—History.  —A. G. was a 61 year old Polish housewife who entered the Presbyterian Hospital on Jan. 14, 1948, with the history of recurrent attacks of severe pain in the right upper abdominal quadrant following meals over a period of twenty-three years. Cholecystograms

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