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Case Reports |

AGENESIS OF ABDOMINAL MUSCLES WITH ASSOCIATED MALFORMATION OF THE GENITOURINARY TRACT:  A Clinical Syndrome

WILLIAM OBRINSKY, M.D.
Am J Dis Child. 1949;77(3):362-373. doi:10.1001/archpedi.1949.02030040372008.
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THE CONGENITAL absence of the anterior and lateral abdominal musculature is a rare anomaly and perhaps would not merit additional description were it not for its simultaneous occurrence with certain malformations of the genitourinary tract. These malformations include an enlarged and hypertonic bladder, usually occupying an abdominal or fetal position, hydroureter, destruction or cystic degeneration of the renal parenchyma, with dilatation of the renal pelves and calyxes, and cryptorchism. A case with this combination of congenital anomalies is described in this paper.

REPORT OF A CASE  History.—A white boy 5½ months of age entered the pediatric service of the Mount Sinai Hospital on April 27, 1946 because of paroxysmal cough and wheezing respirations of four days' duration. The family history revealed no chronic, familial or degenerative disease. There were 4 siblings, each of whom was well and, except for congenital deafness in the next youngest child, normal. The patient

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