91 



superficial parts of the mucosa, which are strongly infiltrated with 

 blood, are necrotic. Here we find places where the surface epithe- 

 lium is missing, so that the blood is free on the surface of the 

 mucosa. The large parietal cells are very coarsely granular and 

 stain deeply with eosin. Some of them have two or three nuclei, 

 while others are much swollen and have lost their nuclei. Fairly 

 dense masses of plague bacilli are found in some of the superficial 

 hemorrhagic areas. The nodule in the region of the pylorus of 

 the stomach shows a mucosa in an extensive state of glandular 

 hypertrophy. The gland formation, however, is so typical that the 

 process cannot be looked upon as an early stage of carcinoma. It 

 is simply a glandular hypertrophy. In the duodenum the same 

 vascular changes are seen as in the gastric mucosa. However, the 

 blood extravasation is very insignificant and the vascular dilatation 

 more moderate. In spite of this, the more superficial parts of 

 the duodenal mucosa is necrotic, not uniformly so but in small 

 patches. Eosinophilic polynuclear are numerous in the duodenal 

 mucosa and submucosa. Plague bacilli are not found. The 

 dark cysts encountered in the interior of the large intestine 

 are blood cysts formed between the muscularis and the submucosa 

 of the bowel. The hemorrhage has completly dissected apart the 

 muscularis and the submucosa. The contents of the cysts are pale, 

 changed, or fairly normal erythrocytes, between which are found 

 hyaline degenerated vessel walls and some irregularly distributed 

 elastic fibers. The mucosa overlying the cysts is in a condition of 

 coagulation necrosis. Plague bacilli are not found in or near these 

 blood cysts; neither are any animal parasites encountered. 



Case No. 13. Left Sxjbmentajl Bubo. 



[Necropsy Protocol No. 1027. F. C, a Filipina, 14 years old, from No. 195 Plaza 

 Leon XIII, Tondo. Died after a short illness of unknown duration, on Sep- 

 tember 7, 1904, at 7.10 o'clock p. m. Post-mortem examination made on 

 September 8, at 3 o'clock p. m.] 



The body of a slender young girl about 15 years of age. Mam- 

 mary glands fairly well developed and the pubes scantily covered 

 with hair. The nutrition is good. There are no deformities, 

 external wounds, sores, pustules, etc. The post-mortem rigidity 

 is fairly strong ; the post-mortem lividity is well marked on depend- 

 ent parts and spreads toward the sides of the trunk. The left 

 side of the face is quite cyanotic and swollen. The swelling is 

 most marked underneath the parotid region; it is not sharply 



