Our hospital plays the role of a medical center for a rural district, giving medical service for the approximately 20, 000 settled farming population. There is no mixingof patients with other hospitals.
The author deliberated on the 242 female cases of appendicitis treated at this hospital. 1. Incidence of appendicitis.Female cases surpassed male cases in the ratio of 1: 0.75. Majority of the female cases consisted of the married women of 26-36 age group, who take the lead as housewives both in the household work and in farming. It was noted that acute cases increased in the April-June on-season, while chronic cases increased before and after the on-season, i. e. in February, March and June. The increase of acute cases may be due to the hard physical labor and overwork of rural women. 2. Histological classification of the resected specimens. Attention of the author was drawn to the existence of neuroappendicitis or appendicitis ascribed to disturbance in the vegetative nervous system.It may have something to do with the slackened mental tension before and after the on-season. 3. Affinity with gynecological diseases. Confusion in diagnosis of appendicitis and gynecological diseases occurred to 10% of appendicitis cases. Relationship with urinary diseases is not to be neglected either. Question of appendicitis in pregnancy was also taken into consideration. In conclusion, emphasis was placed on its close affinity with gynecological diseases, with the suggestion of hints for differential diagnosis.