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Appendix

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Surgery
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Abstract

The vermiform appendix was recognized as an independent anatomical structure at the beginning of the 16th century.13 The appendix was sketched in the anatomical notebooks of Leonardo Da Vinci (Fig. 50.1; ca. 1500) and was called an “orecchio” or ear. However, it appears to have been formally described in 1524 by Da Capri4 and in 1543 by Vesalius.5 In 1554, Fernel6 described a case of a 7-year-old girl who was given a large quince as a remedy for diarrhea. The girl subsequently developed severe abdominal pain and ultimately died. At autopsy, the quince was found to have adhered to and obstructed the lumen of the appendix; the appendix had become necrotic and perforated. Until the 18th century, cases of appendicitis were described at autopsy.13 Amy and is credited with the first recorded appendectomy (1736), performed when a boy presented with a fistula in a hernia.7 Exploring the hernia, Amyand found the appendix in the scrotal sac. A calcified mass and fecal fistula had formed around the wall of the appendix where it had been perforated by a pin. Subsequently, in the mid-1800s, a number of cases of appendiceal abscess were recognized before death. Some were drained, with recovery of the patients.13

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Soybel, D. (2008). Appendix. In: Norton, J.A., et al. Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68113-9_51

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