October 1967

Congenital Absence of the Colon and Rectum

Author Affiliations

Rabaul, New Britain, New Guinea
From the Nonga Base Hospital, Rabaul, New Britain, New Guinea. Mr. Blunt is now at the University of Queensland, Brisbane, Australia. Mr. Rich is now in New Plymouth, New Zealand.

Am J Dis Child. 1967;114(4):405-406. doi:10.1001/archpedi.1967.02090250103009

THE FOLLOWING case is reported because of its rarity.

Report of a Case  The infant, a girl weighing 2.83 kg (6.24 lb), was the second child of Papuan parents. Delivery had been by cesarean section at term for a major degree of placenta praevia, and no hydramnios had been noted prior to delivery. Physical examination of the child showed a slight anal dimple but no anal orifice. No other abnormality was detected on external examination. A straight x-ray film of the abdomen with the infant inverted showed a large gap from the anal dimple to gas in the colon. Thirty-six hours after birth an intravenous infusion was commenced via the umbilical vein, and the perineum was explored under a general anesthetic. Perineal exploration failed to reach the rectum so a laparotomy through a transverse lower abdominal incision was performed. The ileum was grossly distended and this terminated in a blind

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