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Case Reports
July 1950

DOUBLE HYDROMETROCOLPOS AND IMPERFORATE ANUS IN A NEWBORN INFANT

Author Affiliations

CHICAGO
From the Children's Surgical Service of Cook County Hospital.

Am J Dis Child. 1950;80(1):79-84. doi:10.1001/archpedi.1950.04040020086010
Abstract

Abdominal distention in the newborn is infrequent. However, as the result of anomalies of the intestine, cases of complete or partial congenital obstruction do occur. Pneumoperitoneum, rarely observed, caused by rupture of the intestine in utero or at delivery leads to a distended abdomen. A most unusual case in our experience is that of a newborn infant with an enlarged abdomen due to a huge hydrometrocolpos. This is a condition in which a variable amount of fluid, secreted by the uterine cervical glands, collects in the vagina as the result of mechanical obstruction. As suggested by Ladd and Gross,1 etiologically this is thought to be due to a congenital developmental anomaly. The fluid secreted by the uterine glands varies in quantity and consistency. It is well recognized that during the first few weeks of life there is a normal gray-white discharge from the vagina. The amount of secretion is

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