This case is reported because of its rarity. In the surgical literature cases have been reported in which the ascaris has entered the larynx and various portions of the hepatic system. Intestinal obstruction has been caused by masses of the parasite, and other cases similar to this one have been reported.
—B. B., a girl, aged 16, was admitted to the Madigan Memorial Hospital under my care, April 27, 1917. She had been operated on in the same institution, Jan. 20, 1916, for an intraperitoneal abscess caused by a ruptured appendix. Following the operation she had been critically ill for a number of days, but was discharged as well, March 4, 1916. The hospital records do not have any statement from the attending surgeon as to whether or not the appendix was removed. April 27, 1917, she came for relief of very severe pain in the entire lower abdomen.