Six years ago I1reported some observations and impressions on the occurrence of a peculiar abdominal pain, or pains, in the course of throat infections in children. Although the paper did not elicit any comment at that time, the symptom complex then described has since attracted rather wide interest and has entered fairly extensively into the recent literature on abdominal conditions, accompanied by pain, in children. I am more than ever convinced that this pain, which is of little, if any, therapeutic or prognostic interest, is of great importance in the differential diagnosis of abdominal conditions in children when pain is a cardinal symptom. Of these, appendicitis is obviously the most important in this connection. Since writing that paper and others,2it has been my unhappy experience on a number of occasions to see the diagnosis of appendicitis discounted, or even excluded, because the patient had a throat