German -> English

This may be a long shot but this is my 3rd great grandmother’s cause of death from an 1891 document. I don’t know much about that side of the family so I’m learning as much as I can. At least I have her name but I am curious as to how she passed. She died in Pennsylvania so it may be in a Pennsylvania Dutch dialect? Like I said, I don’t know much. Thank you for any help ❤️