ABSENT ABDOMINAL MUSCULATURE, GENITOURINARY ANOMALIES, AND DEFICIENCY IN PELVIC AUTONOMIC NERVOUS SYSTEM

Abstract

THE SYNDROME of absence of anterior abdominal musculature and coexisting genitourinary abnormalities is being presented at this time because absence of ganglion cells in the bladder was found in two of our three cases. The suggestion of this as a factor in the origin of megaloureter not associated with absent anterior abdominal musculature has been made by Swenson. 1 Two of our three cases were also interesting because there was definite organic vesical neck obstruction. REPORT OF CASES Case1.—J. G. (No. 244226), a 5-month-old white boy, was first seen at the Bronx Hospital in November, 1951, in an episode of acute laryngotracheobronchitis associated with bronchopneumonia. The absence of anterior abdominal musculature had been noted at birth. Study of the urinary system at another hospital shortly after birth was unsuccessful, but the nonprotein nitrogen value was normal at that time. Examination on admission to this hospital revealed the absence of