The frequent existence of duodenal ulcer in conjunction with a diseased gall-bladder is a recognized fact. The case nere detailed is given for the reason that the unrecognized doudenal ulcer was the cause of death in an operative case of cholecystitis which to all appearances was progressing to recovery.
—The patient, aged 54, six years prior to this operation had an attack of violent pain on the right side, which was diagnosed as gall-stone colic. Two years of perfect health followed; then a period of four years of indefinite history of indigestion. Five days prior to the time the patient was sent to the hospital a chill occurred, followed by a sudden rise of temperature to 103, vomiting and severe pain in the region of the gall-bladder. At the time of her admission to the hospital, an examination showed, in addition to the clinical symptoms,