T HE case I am about to report is one of complete eventration, with a small abdominal opening and with no evidence of any form of a sac; the bowels undoubtedly had been floating in the free amniotic fluid during intrauterine life. As occur8 in many of these cases, there were other associated embryonal defects and some of these probably explain the occurrence of the exaggerated conditions in this patient. The patient was a primipara, aged twenty-six years. Family history was negative except that grandmother of child on paternal side had a slight shortening of one upper extremity. The Wassermann test was negative. She had a spontaneous miscarriage of eight weeks’ duration in February, 1927. Last menses occurred on July 4, 1927, calculated date of confinement April 11, 1928. Nausea and vomiting persisted until the end of the third month. Otherwise entire prenatal period was uneventful until onset of labor. Fetal heart tones were 144 at each visit, once every two weeks. Last visit was April 5, 1928, three days prior to onset of labor. On Sunday, April 8, patient was taken aut.omobile riding over rough streets with the idea of precipitating labor. Labor pains were first noted at 11 P.M. that same night, but they were so weak and irregular that she did not call the doctor until 8 A.M. the following morning, April 9. She was seen at 9 A.X. in the hospital and on examination the cervix was found to be dilated about one and one-half fingers and with very little effacement. Blood pressure was as usual, 110/72. The urine was negative. Pains were recurring every twenty-five to thirty minutes and of short duration. Fetal head was entered in pelvic inlet and position was left occipito-anterior. Fetal heart rate was 180 as compared to the former constant rate of 144. There was no vaginal show or other bleeding. Everything appeared normal except the fetal heart rate and in view of the foregoing history the possibility of a partial abruptio placenta with occult bleeding was considered. There were, however, no other confirmatory signs. The fetus without a doubt was in distress, but a rapid delivery could only be done by cesarean section. This was postponed and the fetal heart rate was taken every fifteen minutes without any‘change until complete dilatation occurred, and membranes were ruptured at about 5:30 P.Y. Immediately following this procedure the fetal heart rate rose to 19% as nearly as could be counted. Meconium now appeared at the vulva. An episiotomy and an immediate midforceps delivery were done, with a viable child born at G P.M. Examination of the child revealed the stomach and coils of small intestines and cecum, greatly distended, and these as well as the liver and omentum, protruded from an umbilical opening the size of a silver dollar and passed alongside the umbilical cord. The cord divided just before entering the abdominal cavity. There were no evidences of a covering for the viscera; the peritoneum ended at the umbilical opening, and only the cord itself was covered with a membrane. The stomach and coils of intestine were matted together in places and when separated a fibrinous material was seen. The viscera were not hyperemic but simulated ordinary bowel serosa.