Several years ago I reported 1 a curious malformation of the internal genitalia in a child, classifying the malformation as either pseudohermophrodismus masculinus externus or bilateral inguinal hernia of the ovaries with aplasia of the uterus. Since reporting this case I have seen two other cases in which I was unable to detect a uterus. Neither of these presented the condition found in the labia majora in the reported case, but both gave evidence of a marked interference with the development of the internal organs of generation. Second Case. —An Italian woman, aged 34, married, housewife, was seen by me with another physician, March 7, 1906. Her family history was without interest, so far as we were able to determine, for it was difficult to converse with her, since she spoke no English and her husband was, at best, a poor interpreter. The patient sought medical advice on account of a pain