Abstract
The case here reported is one of more than usual interest, inasmuch as I have been unable, by extensive inquiry and correspondence, to locate one in which the history is parallel. <h3>History.</h3> —Miss F., aged 18, consulted me Sept. 23, 1900. She was a bright, intelligent girl of rather slight build. She stated that she had never menstruated. I thought nothing particularly strange of this, however, as occasionally one meets cases in which this function does not manifest itself until the age of 17, 18 or 19 years. In fact, I had at that time a patient, a well-developed girl of 19, in whom the menses did not appear until the eighteenth year. The patient further stated that at intervals of about every three months since she was 16 years of age, she had "swellings," as she termed them, in the right and left iliac regions. These points were tender
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