1 The Surgical Service of Children's Hospital of Pittsburgh and Department of Surgery, School of Medicine, University of Pittsburgh.
Case 1: J.M.R., a 3-year-old white girl was admitted to Children's Hospital on November 5, 1943, with intermittent vomiting and abdominal pain of 3 days' duration. There had been a white vaginal discharge for 24 hrs. following the onset of symptoms. Physical examination revealed an acutely ill, listless pale child in severe pain. Rectal temperature was 100°F. and the pulse 110. There was right lower abdominal tenderness with generalized muscular rigidity. Peristaltic sounds were absent. Rectal examination disclosed a finger like mass "hanging" over the brim of the pelvis. "This in turn seemed to be crossed by another mass." The examining finger could not be passed beyond this mass.
Submitted on August 26, 1954