We, The Philippine Journal of Science 
The patient was put on diluted milk diet and improved stead- 
ily; on February 138 he was tried on a baked potato. About 
four hours later he was taken with intense colicky pain in the 
lower abdomen, accompanied by much distention and prostration. 
Local measures, stupes, and enemeta gave relief, but the patient 
grew rapidly worse until an exploratory laparotomy was decided 
upon and done on February 17. (I might add here that there 
were 3 complete blood counts made, all of which were normal, 
90 per cent hemoglobin.) 
Upon opening the abdomen through the right rectus, a.mass 
of about the size of a coconut was found filling the entire right 
lower quadrant. The head of the cecum was invaginated, car- 
rying the normal appendix with it. The cecum was enormously 
thickened and formed a ball-valve, completely occluding the 
ileocecal valve. The condition was so manifestly malignant that 
immediate resection was decided upon. The cecum was am-. 
putated and with it 10 centimeters of ascending colon and 5 
centimeters of ileum. A lateral anastomosis by the Moynihan 
method was made high up on the ascending colon. The wound 
was closed without drainage. 
The patient made an uninterrupted convalescence and was 
sent to the Letterman General Hospital, San Francisco, on March 
15, 1914. He weighed at that time 114 pounds. I received a 
letter from him a few weeks ago, written six months after the 
operation, in which he stated that he was in the best of health, 
weighed 163 pounds, and had returned to duty. Another letter 
received March 27, 1915, stated he was perfectly well and was 
on duty at Fort Meade, South Dakota. 
