A Case of Recurrent Appendicitis with a Large Fæcal Concretion

sometimes by diarrhoea (4 or 5 motions daily). He describes the pain as being of a griping character, but remembers nothing else about it. He had no other symptoms during those years. Six years ago he had a more severe attack lasting 15 days. He was then free until four years ago when he had another severe attack; the pain was localised in the umbilical region and was accompanied by vomiting, rigidity of the abdomen, and constipation. The latter was relieved by a purgative on the second day, when the patient also passed urine which he had been unable to do on the first day. Vomiting ceased after 4 days, but the pain remained for 10 days. After that he had only two slight attacks, until five months ago when he had an attack of very