Acute appendicitis in children under 5 years of age is a relatively infrequent disease. Even in the surgical services of large hospitals there is but small opportunity to see many cases. A study of this subject, therefore, must involve a careful examination of the literature. A collective consideration of the reported cases and statistics should give information which the experience of the isolated writer generally is unable to furnish.
Contributions to this subject have been made by pediatricians and by surgeons. Numerous inaugural dissertations have made it their theme. Some writers have been able to present a very considerable series of cases, and individual case reports have also been numerous.
The following paper is, first, an effort to make a critical examination of the present knowledge of the subject; second, to present several illustrative cases, and third, to draw certain conclusions which seem to have outstanding importance.
The incidence of