Abstract
The following case occurred in the wards of Dr. Joseph Hearn in the Philadelphia Hospital. I am indebted to him for the clinical history. L. H., 23 years of age, a native of Ireland, white and married. There is no tubercular family history. She was admitted in October 1896. The patient had measles in childhood. Influenza five years ago which left her with a weak right side. In January 1896 she was delivered of a six months fetus and since that time has been confined to bed continually. She has become much emaciated and has a profuse diarrhea. Examination of abdomen shows a large mass the size of a baby's head, in the right lumbar region. This is movable, and the skin is not adherent. The tumor is not painful except on deep pressure. A slightly tympanic note is heard in percussion over this mass. There is marked edema posteriorly
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