For the privilege of reporting this very interesting case I am indebted to the courtesy of my confrères in the Montreal General Hospital, Drs. J. M. Elder and A. H. Gordon.
—Chas. H., aged 10 weeks, was first seen in consultation by Dr. Gordon March 9, 1913, for continued vomiting. The infant had been nursed by its mother and had thriven well for the first two months of life. Then it began to vomit after taking nourishment. The physician who first saw it regarded the mother's milk as the cause of the trouble and advised artificial feeding. This was tried without benefit; the vomiting persisted and the nutrition failed rapidly. There was no pyrexia. When Dr. Gordon saw it in consultation he recognized a sausage-shaped tumor in the left lower right quadrant of the abdomen and recommended immediate operation. It was at once brought to the Montreal General Hospital