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January 31, 1920


Author Affiliations

Bangkok, Siam

JAMA. 1920;74(5):322-323. doi:10.1001/jama.1920.26210050001012

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Transposition of viscera, partial or complete, is an uncommon but not a rare condition. Malformation of organs, especially of the heart and its great vessels, is still more often found. An unusual combination of the two in an infant from the obstetric department of the Siriraj Hospital, Bangkok, appears worthy of record.


Clinical History.  —Nang Nien, a Siamese woman, aged 27, came to the hospital for her third confinement. The personal histories of the patient and her husband were negative. Her two previous labors had been normal. The first-child died at 3 years from chronic diarrhea; the second was still living. Physical examination of the woman gave no evidence of disease. The child was in the left occipito-anterior position, and no abnormal symptoms occurred during pregnancy. Labor came on at full term and was quite easy, lasting three hours. The child was of good size, well

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