64 The Philippine Journal of Science im 



Ulcer of the stomach was met in 3 instances; the first case 

 was a male 25 days old, with the clinical diagnosis of acute 

 gastroenteritis and marasmus and anatomic diagnosis of lobar 

 and lobular pneumonia, acute bronchitis, acute nephritis, and 

 emaciation. The second case was a female 1 year and 6 months 

 old, with chronic gastroenterocolitis, and the third case had 

 ulcerative gastritis and was tuberculous. 



Duodenal ulcers, 7 cases. Two of these were due to extensive 

 burns, 1 in a male 5 years old and 1 in a female 1 year old. There 

 is also the record of a case of hemorrhage into the stomach and 

 duodenum with acute bronchopneumonia. 



Gall bladder. Besides the congenital anomalies and migration 

 into the gall bladder or into its ducts of parasites, we have 6 

 cases of catarrhal inflammation. In 1 of these the cholera 

 vibrio was isolated from the gall bladder, and in 2 the lesions 

 seemed to be secondary to those found in the alimentary tract, 

 for in one there was acute diphtheritic enterocolitis with fibrinous 

 peritonitis, and in the other there were hepatic abscesses and 

 tuberculosis of the gastrointestinal tract. The cause of death 

 in 2 was burn and in 1 infantile beriberi. 



Perforative diverticulitis was encountered in a boy 4^2 years 

 old with acute peritonitis and free Ascaris in the peritoneum. 



Intestinal obstruction was found once in a girl 25 days old, 

 due to suppurative omphalitis and acute and chronic peritonitis. 



The record shows one case of intussusception in a boy 10 

 months old, who also had generalized tuberculosis. The lower 

 part of the ileum with the base of the appendix formed the in- 

 tussusceptum and the first part of the ascending colon the 

 intussuscipiens. This series included also a case of megacolon 

 with Dipylidium caninum.i'^^) 



ASIATIC CHOLERA 



As to age, our statistics show that Asiatic cholera attacks 

 all ages and that it increases with age. One premature case lived 

 for six days, and cholera vibrios were found in the intestinal 

 contents after death. The mother of this child had symptoms 

 of abortion for which she was taken and delivered at once in the 

 obstetrical department of the Philippine General Hospital. Soon 

 after delivery they found that the mother was suffering from 

 cholera ; she was sent to San Lazaro Hospital, where she died. 



August and September have the highest infant mortality record 

 due to cholera, while the record of five years shows its absence 

 during the hot months of April and May (Table I) . 



