Realization of the seriousness of acute appendicitis in children stimulates all physicians to a more determined effort at eradication of the controllable factors leading to the high mortality.
There is a reported increase in the incidence of appendicitis in childhood; however, it is probably apparent only and may doubtless be attributed in the main to greater accuracy in diagnosis, as can that reported in adults. However, the mortality rate in children with appendicitis continues to be much greater than that in patients in the higher age brackets. This may be the result of the frequent occurrence of complicating peritonitis in children. In only 27 per cent of the 250 cases recently reported by Maes and his co-workers1 at the Louisiana State University Medical Center was the disease in the early simple acute and acute suppurative stages, and in these cases the mortality was nil. Cases in which peritonitis was