describes a male infant who was born on November 26, 1848, weighing 20
pounds, and Smith another of the same weight. Baldwin quotes the case
of a woman who after having three miscarriages at last had a child that
weighed 23 pounds. In the delivery there was extensive laceration of
the anterior wall of the vagina; the cervix and perineum, together with
an inch of the rectum, were completely destroyed.

Beach describes a birth of a young giant weighing 23 3/4 pounds. Its
mother was Mrs. Bates, formerly Anna Swann, the giantess who married
Captain Bates. Labor was rather slow, but she was successfully
delivered of a healthy child weighing 23 3/4 pounds and 30 inches long.
The secundines weighed ten pounds and there were nine quarts of
amniotic fluid.

There is a recent record of a Cesarian section performed on a woman of
forty in her twelfth pregnancy and one month beyond term. The fetus,
which was almost exsanguinated by amputation, weighed 22 1/2 pounds.
Bumm speaks of the birth of a premature male infant weighing 4320 gm.
(9 1/2 pounds) and measuring 54 cm. long. Artificial labor had been
induced at the thirty-fifth week in the hope of delivering a living
child, the three preceding infants having all been still-born on
account of their large size. Although the mother's pelvis was wide, the
disposition to bear huge infants was so great as to render the woman
virtually barren.

Congenital asymmetry and hemihypertrophy of the body are most peculiar
anomalies and must not be confounded with acromegaly or myxedema, in
both of which there is similar lack of symmetric development. There
seems to be no satisfactory clue to the causation of these
abnormalisms. Most frequently the left side is the least developed, and
there is a decided difference in the size of the extremities.

Finlayson reports a case of a child affected with congenital unilateral
hypertrophy associated with patches of cutaneous congestion. Logan
mentions hypertrophy in the right half of the body in a child of four,
first noticed shortly after birth; Langlet also speaks of a case of
congenital hypertrophy of the right side. Broca and Trelat were among
the first observers to discuss this anomaly.

Tilanus of Munich in 1893 reported a case of hemihypertrophy in a girl
of ten. The whole right half of the body was much smaller and better
developed than the left, resulting in a limping gait. The electric
reaction and the reflexes showed no abnormality. Th