Congenital defect or absence of the musculature of the abdominal wall is a rare condition, but interesting in that postmortem examinations in these cases have revealed abnormalities of the genito-urinary system. In 1903, Stumme1 compiled the cases recorded; in 1905 Garrod and Davies 2 collected all the cases published and added two of their own. In 1909, Mollison 3 arranged all cases reported, twelve altogether, in chronological order. He also added one case which he had under observation at that time. In 1913, Thatcher4 next reported a case of congenital defect of the abdominal muscles with anomaly of the urinary apparatus, and the same year Smith 5 also presented a typical case in which a moderate degree of genu valgum and talipes calcaneovalgus were present on both sides. To this group of fifteen cases we add another in which the patient was admitted to the pediatric ward of the Minneapolis General Hospital.
REPORT OF CASEHistory.\p=m-\R. T., a boy, aged 5 months, was the second child of healthy young parents. He was born at full term; the delivery was normal and no forceps were used. At birth, the obstetrician had made a note that the infant's abdomen lacked tone, but that the child nursed well and gained in weight satisfactorily. At the age of 2 months, the mother brought the infant back to the hospital dispensary. She then stated that she had no difficulty in nursing the child, but that she was much worried with regard to the child's abdomen which was large, soft and flabby.
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