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.
- Received August 26, 1954.
- Copyright © 1954 by the American Academy of Pediatrics