[When is surgical correction of the terminal ileum during appendectomy indicated?]

During 1416 appendectomy operations we examined the ileum and found 42 cases of terminal ileum infraction (ileum terminale duplex) caused by the cicatrisation of the mesenterium. Nine of the forty-two had characteristic symptoms of terminal ileum infraction syndrome (stomachodynia and pain in the right lower part of the abdomen 4 or 5 hours after meals, distensions). Deliberation was performed in this cases at the time of the appendectomy operations. Following the operations they had no symptoms. When the infraction is severe or the patient has typical complaints of terminal ileum infraction syndrome necessitates the deliberation of the terminal ileum in our opinion.