It has been my good fortune to see during the past five years three very unusual congenital defects of the rectum the reports of which cases are appended. The defect in these cases consists in a partial failure of development in the fetal septum which divides the cloaca into a posterior rectal portion and an anterior genitourinary portion. The defect is well illustrated in Figures 1 and 2.
—C. K., aged 8 months, well-developed female child was sent to me by Dr. Allyn C. Poole of Cincinnati for the operative treatment of a defect of the rectum which had existed since birth. This little patient suffered great inconvenience from this defect. The bowels could be moved only with great difficulty and she often suffered much abdominal pain. Furthermore, there was a constant irritation about the genitalia because of the discharge of stool through the vagina. This irritation
WHITACRE HJ. THREE CASES OF IMPERFORATE ANUS WITH RECTOVAGINAL FISTULA.. JAMA. 1908;LI(8):670–673. doi:10.1001/jama.1908.25410080036003