The occurrence of gallbladder disease in young children has always been regarded as extremely rare, if not altogether nonexistent. One may search most of the standard works on pediatrics without finding the slightest hint of even the possibility of such a lesion being found in children, and those which do mention it do so only in the most cursory manner. Holt, Kerley and Freer, for example, ignore the subject entirely, and we find Langley Porter, writing in Abt's new work. remarking that "pathological involvement of the gallbladder during childhood is practically unknown, and inflammatory affections of the bile ducts are hardly more common.... Gallstone attacks of the adult type do occur in childhood, but so rarely that the records of the cases are medical curiosities." He also notes that Bittner and Lowenberg have reported acute suppurative cholecystitis with perforation and peritonitis in children suffering from typhoid fever. In Fischer's latest