Mattie A., aged 38, was admitted to Mercy Hall Cancer Hospital on March 9, 1945. She had been operated on at Woman's Hospital by Dr. W. E. Johnston in July 1941. Dr. Johnston, Dr. Don M. Beaver and Dr. Frances Ford supplied the notes from the latter hospital admission.

Prior to her admission to Woman's Hospital the patient had complained of pain and tenderness underneath the right costal margin for one year and of jaundice for two weeks. She had weighed 90 pounds (40.8 Kg.) and had a hemoglobin content of 60 per cent and a red blood cell count of 3,250,000.

At abdominal exploration on July 25, 1941, the head of the pancreas had been found to be the size of a large plum, round and hard. The gallbladder had been distended and the common duct dilated. There had been no evidence of disease of the gallbladder.

Cholecystogastrostomy had