TY - CHAP M1 - Book, Section TI - Appendix and Small Bowel Diverticula A1 - Madenci, Arin L. A1 - Peranteau, William H. A1 - Smink, Douglas S. A2 - Zinner, Michael J. A2 - Ashley, Stanley W. A2 - Hines, O. Joe PY - 2019 T2 - Maingot's Abdominal Operations, 13e AB - Although appendicitis is now well recognized as a leading cause of surgically treated abdominal pain, Galen and other early anatomists overlooked the vermiform appendix for centuries.1 The Renaissance artist, Leonardo da Vinci, became the first to document the existence of the appendix in sketches circa 1500. Subsequently, anatomists da Carpi2 and Vesalius3 formally described the appendix in the mid-1500s. Soon thereafter, in 1554, Fernel described the first recorded case of disease of this organ: a 7-year-old girl with diarrhea was administered treatment with a large quince fruit, which obstructed the appendiceal lumen after it was ingested.4 She developed severe abdominal pain and died. Autopsy showed the quince fruit obstructing the appendiceal lumen, with resultant appendiceal necrosis and perforation, thereby resulting in the first description, postmortem, of what would later be known as “appendicitis.” SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accesssurgery.mhmedical.com/content.aspx?aid=1160041771 ER -