Abstract

Presentation of Case A twenty-seven-month-old girl was admitted to the hospital because of an enlarging abdomen. The child was asymptomatic until fourteen months of age, when her parents noticed that she was unusually plump. Because of gradually increasing abdominal girth she was admitted to another hospital at the age of twenty months. Physical examination was negative except for distention of the abdomen, which contained fluid. She weighed 27 pounds, 12 ounces. The urinalysis, hemogram, serum bilirubin, transaminase, cephalin flocculation, total protein, thymol turbidity, alkaline phosphatase and prothrombin content and an electrocardiogram were normal; a tuberculin skin test (intermediate-strength PPD) was . . .

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