716 The Philippine Journal of Science 1921 
We can confirm the statement that “antecaecal positions” are 
infrequent. We met it in only 2.8 per cent of our adults and 
in 2.6 per cent of the children. 
The appendix in the children was situated higher in the right 
lumbar region, in front of the kidney and just below the liver. 
The subcaecal position was the common position encountered, 
and the retro positions came next. The pelvic position was not 
seen. These facts are to be expected because of the progressive 
descent of the caecum and the appendix in childhood. 
While it is rather difficult to draw very definite conclusions 
from the above work, due to its rather incomplete nature, yet 
we can safely deduce the following salient facts: 
1. That the length of the human appendix is very variable 
and does not seem to keep any definite relation to race. 
2. That in Filipinos the length of the appendix bears a defi- 
nite relation to age, being relatively longer in younger than 
in older persons and, furthermore, that it gradually grows in 
length with age, attaining its maximum between the ages of 20 
and 50 years, gradually declining thereafter. 
3. That it is longer in males than in females. 
4. That it is higher in children than in adults and that in 
the former the subcaecal is the commonest position and the 
retrocaecal in the latter, the antecaecal being very rare in either. 
5. That the pelvic position considered normal by some authors 
was not even found in this series and must be considered in- 
frequent in Filipinos. 
Our thanks are due to Prof. H. Windsor Wade, of the depart- 
ment of pathology and bacteriology, for courtesies extended in 
turning over to us the records of autopsies of his department, and 
to Dr. Juan C. Nanagas for permitting us to include in this work 
his measurements of the appendix. 
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