A search of the literature shows that this condition is extremely rare. The unusual and peculiar symptoms in this case make it of sufficient interest to report. The history pointed to some obscure bladder trouble.
Patient.
—S. B., aged 6, on the night of August 15, was suddenly attacked by pain in the hypogastrium, accompanied by a pressing desire to urinate. She was up constantly during the night trying to empty her bladder. Her mother applied hot fomentations to the meatus urinarius without relief.
Examination.
—When seen the following morning the child was in pain and was straining with violent vesical tenesmus. A few drops of normal urine were being constantly expelled. The abdomen was rigid and tender, pulse rapid, and temperature normal. While she was not seriously depressed she presented some slight shock. There was a prominent tumor in the hypogastrium. It occupied the entire pelvis and extended up