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June 21, 1924


Author Affiliations

Niagara Falls, N. Y.

JAMA. 1924;82(25):2030-2031. doi:10.1001/jama.1924.26520510004009d

Recently, I had a chance through the courtesy of Dr. George P. Eddy of this city to examine a case of a condition that seems to be rather rare, judging from the few cases I have been able to find in the literature accessible to me.

An Italian boy, aged 1 year and 9 months, had never been seriously ill. He had had coryza at the age of ten months, and presented evidences, such as the square head and Harrison's groove, of rickets. In the recumbent position, he presented a flattened abdomen with only very slight bulging in both flanks (Fig. 1). When he was sitting up or standing, especially when crying, there was considerable bulging of both flanks (Figs. 2 and 3).

Examination showed that the external and internal oblique as well as the transversalis were entirely missing on both sides; the rectus abdominis and the latissimus dorsi on

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