﻿THE CHIEF INTESTINAL LESIONS ENCOUNTERED IN ONE 

 THOUSAND CONSECUTIVE AUTOPSIES IN MANILA 



By B. C. Crowell 



(From the Biological Laboratory, Bureau of Science, and the Department 



of Pathology, College of Medicine and Surgery, University 



of the Philippines) 



One thousand consecutive autopsies, performed during the 

 period of eighteen months from August, 1912, to February, 

 1914, have been reviewed to determine the incidence and char- 

 acter of the chief intestinal lesions. Especial attention has been 

 given to the incidence of intestinal tuberculosis, typhoid fever, 

 and amoebic and bacillary colitis. 



The cases were derived from a large general hospital, a hos- 

 pital for contagious diseases, and the medicolegal service of the 

 city of Manila, so that all classes of cases were included. The 

 overwhelming majority of the cases were Filipinos, although 

 some other oriental races and some Caucasians were included. 

 Two epidemic diseases, bubonic plague and Asiatic cholera, fur- 

 nished 149 of the 1,000 cases, while many more were subjected 

 to examination in order to prove or eliminate cholera. These 

 latter cases furnished many examples of intestinal disorders, 

 as the public-health authorities during the cholera epidemic nat- 

 urally selected cases for autopsy diagnosis which gave a history 

 either of sudden death or of diarrhoeal disease. 



The incidence of parasitic metazoa has not been especially 

 investigated in this series; their incidence in 500 autopsies al- 

 ready has been reported.^ Other than numerically the cholera 

 cases will not be referred to in this report, as they furnish the 

 subject of another paper. ^ 



Table I. — Incidence of intestinal diseases in 1,000 consecutive autopsies in 



Manila. 



Asiatic cholera 92 



Intestinal tuberculosis 56 



Typhoid fever 39 



Entamoebic colitis 31 



Bacillary colitis 25 



Duodenal ulcer 9 



Noninfectious or unclassified inflammatory lesions of 



intestines 57 



In 17 cases two or more of the above lesions were coexistent 

 in the same case. For example, 7 of the cases of tuberculosis 



' Crowell and Hammack, This Journal, Sec. B (1913), 8, 157. 

 -Crowell, B. C, ibid. (1914), 9, 361. 



453 



