The recent exhaustive articles1 on this subject have changed our plans in considering the condition in detail and referring to the previous work which has been done on this subject, but cases are still so rare that we think it expedient to report this one in considerable detail. This case seems of especial interest in that while it has the entire triad of symptoms completely developed, it differs in some important essentials from the cases previously reported.
—Mrs. J. M. D., aged 53, first seen by Dr. Aldrich Jan. 11, 1906, complained of considerable dyspnea on exertion. She had also noticed that she had an immense growth in the left abdomen.
—This was negative. The father was living at the age of 86, and was in reasonably good health. The mother died at 50, from a "lingering consumption." The patient had waited on her mother constantly