Evening star. [volume] (Washington, D.C.) 1854-1972, 1902-06-24
ression just in front of the right hip bone.

preston just in front of the right hip bone.
Typhlttis sometimes progresses to the de-
gree OF perforation and is then pronounced
peritypnlitfs. 1t is, briefly, an exaggerated
ana particularly acute form Of what Is
generally known as appendicitis.
Per1typhlitiS Is an Inflammation of the
vermiform appendix and the peritoneum or
inner wall Of the adjacent intestine and alb
dominal wall. The caecum is the gateway to
the veriform appendix and is situated at the
1uncture OF the large and small intestines.
1t Is about two and one-half inches long.
The region Of the Inflammation in perityph-
litis thus includes the entire area of the
caecum, part Of the veriform appendix
and part Of the lining Of the intestine. 1t is
a disease usually found in the young and in
males, and is accompanied by sharp pain
and acute tenderness.
1t is always a very dangerous disease.
but 1t Is particularly likely to prove fatal
when the sufferer is as old as King Edward
and has no better a constitution than his.
The presence Of the disease implies a great
deal of Inflammation. The operation to
offset its ravages is therefore great I'M
dertaking. 1t Is normally very serious.
In King Edwards case 1t is. to say the
least. doubly SO. II he should survive the
operation it is hardly likely he could re-
cover from the shock. He must, of course.
be placed under the influence of an anaes-
thetic. There is a new method of achiev
ing the same result by making use of
cocaine anaesthesia administered through
the spinal canal, but this is fully as trying
as the administration of one of the better
known anaesthetics. Assuming that the
operation results most favora bly-which 10
assuming very great deal-the king will
be unable to get about in less than three
weeks and the coronation must certainly
be delayed more than a month.
The surgeons who attend the king may
have called the disease perityphltis be-
cause appendicitis is popularity regarded as
certainly fatal But perityphlitiS is really
more dangerous disease than appendicitis
and If the corps of surgeons has chosen to
SO designate the present mafady of the
king it is almost certain the latters chances
for recovery are small
DR.. Edson's Explanation.
NEW YORK, June 24.-Dr. Cyrus Edison
explained today the kings illness and the
operation as follows:
''Perityphlitis is inflammation. including
the formation of an abcess, of the tissues
around the vermform appendix, and hence
perityphlitis is hard to distinguish at once
from appendicitis. Usually an operation is
necessary to ascertain whether the appendix
the surrounding tissue is diseased In
the kings case there is probably an abscess
at the head of the large intestine where
the appendix begins. and the operation to-
day was an immediate necessity. because
the abscess had to be got at and emptied
of Its contents, or pus. OF course. l cannot
say what further than the abscess was dis
covered by the SurgeonS-that Is, to what
extent the Inflammation had affected that
part of the kings body. Under ordinary
circumstances he ought to recover in three
or four weeks. but after recovery it would
perhaps be four weeks more before he
would be able to perform his part in the
coronation ceremony.
THE kings trouble is in his right side.
low down.