18, 6 Garcia and Solloza: Vermiform Appendix 715 
seventy-five children. Saventeen per cent of the adults showed 
adhesions; in children, with the exception of two cases, the 
appendix was lying free in the abdominal cavity. 
Following Turner(34) we divided the positions encountered 
into: 
Appendix found behind the cecum, behind the colon, or behind the ileum. 
Retrocecal, where the appendix is behind the cecum coiled upon 
itself, or crossing toward the median line or laterally, or lodged 
in the subcecal fossa. 
Retrocolic where the appendix is lying behind the ileum running 
upwards either along the posteromedial or posterolateral bor- 
der of the colon. 
Retroileal, where the appendix is behind the ileocecal junction 
curled upon itself or winding around the ileum. 
Appendix found below the cecum. 
Subceecal, where the appendix is found below the cecum in the 
fossa iliaca dextra crossing the iliopsoas muscle either toward the 
promontory or turning laterally toward the iliac spine, or simply 
coiled on itself and pointing downward. 
Pelvic, where the appendix is found overhanging the brim of the 
true pelvis. 
Antececal, appendix found in front of the cecum. 
Anteileal, appendix found in front of the ileocwcal junction. 
We found adult cases distributed as follows: 
Retrocecal, 28 cases (21 males, 7 females), or 80 per cent. 
Retroileal, 3 cases (2 males, 1 female), or 8.5 per cent, 
- Subezecal, 2 cases (males), or 5.7 per cent. 
Anteileal, 1 case (male), or 2.8 per cent. 
The cases of children were distributed as follows: 
Subcexcal, 31 cases (21 males, 10 females), or 41.3 per cent. 
Retrocecal, 15 cases (12 males, 3 females), or 20 per cent. 
Retrocolic, 15 cases (10 males, 5 females), or 20 per cent. 
Retroileal, 12 cases (7 males, 5 females), or 16 per cent. 
Antececal or anteileal, 2 cases (1 male, 1 female), or 2.6 per cem 
Our results in adults seem to agree with those of Gian- 
nelli(11) in that the retrocecal and retroileal positions were most 
frequent, differing, however, in that we found the retrocecal 
position the commonest, while in his series the retroileal was 
most frequently encountered. Piersol(21) and Ferguson(7) 
also reported similar findings; but others, among them Waldeyer, 
(87) Nowicki,(20) Turner,(34) Cunningham,(5) and Berry, (1) 
have made the statement that the “pelvic position” was the most 
frequently encountered and some of them have even gone so far 
as to claim that this position was “normal.” We have not found 
it in a single case. 
179044-——7 
