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From almost 16,000 autopsies during the last ten years, 2 patients were found to have secondary infection and abscess formation from ischemic myocardial necrosis, corresponding to a frequency of 0.125 per thousand of all autopsies. They are compared to 21 cases already described. Myocardial abscess is a very rare but nearly always fatal complication of myocardial infarction. More commonly found in patients with diabetes mellitus, it increases the risk of myocardial rupture and purulent pericarditis.

Pseudocysts complicating the evolution of pancreatitis are being recognized with increasing frequency at the subclinical stage. The authors' retrospective study covering 55 cases of pseudocyst brings out 5 criteria for prediction of the evolution of the disease, which should facilitate decision-making with regard to therapy.

Between 1976, date of the introduction of anti-H2, and 1987, 716 patients were hospitalized and operated on for ulcer disease in the surgical department of this hospital. The present study shows that 1. the annual number of operations has regressed by some 30%, 2. while the number of gastric ulcers remains constant on the whole, cases of acute duodenal ulcer have diminished by half, 3. cases of chronic, recurrent, or therapy-resistent duodenal ulcer have increased some tenfold (2 out of 78 in 1976 and 14 out of 45 in 1987), 4. the same is true of perforated ulcers (12 out of 78 in 1976 and 10 out of 45 in 1987) and hemorrhages (12 out of 78 and 10 out of 45), 5. surgery for stenosis has remained constant. -Proximal selective vagotomy has been the treatment of choice since 1981 in over 80% of duodenal ulcers. Operative mortality affects only elderly patients undergoing emergency surgery for complicated ulcer (two thirds perforations, one third hemorrhages). It is 2.6%. We thus confirm the reduced role of surgery in the treatment of gastric ulcer, while redefining the present surgical indications.