XII. B, 2 Mendoza-Guazon: Anatomicopathologic Lesions 57 



tinuous with the umbiUcal cord to a frontal meningocele. The 

 fibers of the cephalic cord are continuous with the foetal mem- 

 branes and with the covering skin of the meningocele. 



The head is incomplete ; there is no forehead above the super- 

 ciliary ridges, but immediately above the left inner canthus and 

 left inner side of the nose is a semiglobular mass about 2 centi- 

 meters in diameter, yellowish and dry, which during life contained 

 cerebrospinal fluid and brain substance. From the forehead 

 extends upward and around the head just about the level of the 

 tops of the ears a large, thin cystic mass. The hair below this 

 is well developed. The nose and mouth are much deformed. 

 The right ala nasi is apparently formed, but is separated from 

 the median portion of the nose by the nostril, which extends 

 halfway to the bridge. There is an opening on the left side where 

 the ala nasi is apparently deficient, orifices leading both into the 

 left nostril and into a cavity between the left inner canthus 

 and nose. The upper lip shows two divisions like the ordinary 

 cleft palate in the superior portion, which makes the mouth large 

 and the hard palate much deformed. 



The three outer fingers on the right hand are imperfectly 

 developed and form a single mass with 3 fingernails; the three 

 fingers cannot be differentiated. This mass is about half as long 

 as the first finger. The first finger and thumb are well pro- 

 portioned. On the left hand the same description applies to the 

 outer two fingers. 



On the left foot the first and second toes are missing, apparently 

 no phalanges having developed; the other three are very short 

 and rudimentary. The toes on the right foot are normally de- 

 veloped. 



The eyes are perfectly developed, but the right has a smaller 

 opening at the expense of the palpebral skin, so that it could not 

 be voluntarily opened during life. The chest is well shaped, 

 rounded, and wide, and is very large. This baby lived for nine- 

 teen days. 



Autopsy 21Jf6. — Male with malformation of hands, wrists, and 

 left forearm, imperfect interventricular septum, and undescended 

 right testicle. Only one bone could be palpated in the left fore- 

 arm, and the carpal bones as individual bones appear to be absent. 

 The left thumb was an outgrowth at the end of the first phalanx 

 of the first finger on its inner and outer aspect and was loosely 

 attached. 



Autopsy 2282. — Male that lived for two days with the clinical 

 diagnosis of absence of penis and imperforate anus. This case is 



