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March 15, 1913


Author Affiliations

Instructor in Surgery, Rush Medical College CHICAGO

JAMA. 1913;60(11):825-826. doi:10.1001/jama.1913.04340110031012

History  — The patient, Lillian K., aged 4, was the fourth of five girls and weighed 8½ pounds at birth. She was breast-fed, walked at eight months, and suffered from marked bow-legs. The mother noticed that she was exceptionally active and rough in play with the other children. "She loved to run and jump like a boy." The mother first noticed a swelling in the right groin when the child was 2 years old. This caused no discomfort and completely disappeared in the recumbent position. There was a gradual increase in size and extension downward as the child grew older, until it finally reached to the right labium majus. At the age of 3 years the child contracted whooping-cough and a swelling appeared in the left groin, similarly located but smaller than that on the right. The family physician at this time made a diagnosis of double inguinal hernia and advised