Victoria R., aged 3½ years, came to the Children's Hospital on Nov. 8, 1933, because of a prominent abdomen. It had been large for at least three years, slowly increasing as she grew. There were no symptoms, general or particular. She ran and played with the other children, vomited no more than a normal child, defecated with the same degree of irregularity and had an occasional mild stomachache. As may be seen from her photographs (fig. 1), she was well nourished and well developed, but her abdomen protruded like that of a woman at the seventh month of pregnancy.
When she lay in bed the curve of the abdomen rose gently from the pubes to the flattened navel and then fell, with a slightly more abrupt slope, to a curved transverse depression midway between the navel and the xiphisternum. The general impression was that a tumor arising from the pelvis