The following case is of interest because of the unusual location of the cyst and the obscurity of its origin.
Patient.
—A. R., boy, aged 4, previous history negative. About one month before present illness the boy's mother noticed, when he was turning in bed a "bunch" the size of an orange in his abdomen about two inches to the right of the umbilicus. The bunch gave him no symptoms and she did not consult a physician about it.
Present Illness.
—About seven days before examination, the patient began to have pain in the abdomen. He had some diarrhea and vomiting; pain, at first all over the abdomen, then localized at McBurney's point. All symptoms grew worse and the boy was admitted to Dr. Reed Burns' private hospital Sept. 10, 1909.
Examination.
—Boy fairly well nourished. Large mass plainly felt and easily perceptible a little above