56 The Philippine Journal of Science 1917 



Alimentary tract. Tracheo-oesophageal anastomosis and multi- 

 ple congenital anomalies, 1 case; imperforate rectum, 1; imper- 

 forate anus, 3 ; microcolon and omental adhesions, 1 ; gelatinous 

 mass in abdomen, probably meconium, 1 ; congenital obliteration 

 of the cystic duct with hydrops of the gall bladder, 1 ; congenital 

 obliteration of the gall bladder, 1; cysts on either side of the 

 oesophagus, 1; aberrant liver tissue in pancreas, 1; Meckel's 

 diverticulum, 2; inguinal hernia, 2; congenital volvulus of the 

 intestine 30 centimeters above the ileocaecal valve, 1. The last 

 lived for one hour only, and at autopsy there was rupture of the 

 ileum 2 centimeters below the twist. The 2 cases of hernia were 

 found in males and in the right side. 



Liver. Autopsy 8197 is a female infant that lived 39 hours. 

 The liver and several loops of the small and large intestines 

 were found inside a hernia of the umbilical cord. The small 

 liver is entirely within the sac, except a small strip from the 

 posterolateral edge of the left lobe that extends outward and 

 downward to the anterior surface of the cardiac end of the 

 stomach. The lower part of the Spighelian lobe is relatively 

 enlarged and is directly in relation to the posterior surface of 

 the lesser omentum. 



Lungs. Left lung with three lobes, 2 cases; incomplete lobu- 

 lation of the lungs, 1; malformation and misplaced right lung, 

 which was found as a small mass beneath the left, 1 ; right lung 

 with two lobes, 2. 



Bones. Anomaly of fourth costal cartilage, 1 case. 



Spleen. Accessory, 5 cases only are recorded. 



Ectopic gestation with peritoneal implantation of the placenta, 

 1 case. 



MULTIPLE CONGENITAL ANOMALIES 



Autopsy 2111. — The mouth is very narrow, almost circular, 

 and the buccal cavity just admits a leadpencil; the fourth and 

 fifth fingers on each hand are fused ; the inferior mandible is very 

 pointed; the fourth and fifth toes are fused, and there is no 

 uvula. Larynx is imperfectly developed, with cleft epiglottis 

 and no vocal cords. Left kidney is cystic, right kidney and 

 ureter missing. Lobes of liver symmetrical, and its median line 

 is that of the abdomen. External genitalia are imperfectly 

 developed, there being a small perforate organ which may re- 

 present penis or clitoris. 



Autopsy 1932. — Male infant, born by breech presentation, with 

 placenta attached by a short fibrous cephalic cord 1 centimeter 

 in length, containing blood vessels which on dissection are con- 



