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February 10, 1945

CONGENITAL RECTOPERINEAL FISTULA ASSOCIATED WITH CONGENITAL ABSENCE OF THE VAGINA

JAMA. 1945;127(6):330-331. doi:10.1001/jama.1945.92860060001008
Abstract

There are numerous reports of congenital anomalies of the anus and rectum including the writings of Berman,1 Chandler,2 Crowell and Dulin3 and David.4 Reports of congenital absence of the vagina include publications by Baldwin,5 Wharton6 and Frank.7

Little has been written, however, concerning a combination of rectal and vaginal deformities occurring in the same individual. This is doubtless due to the scarcity of clinical material. It is therefore our purpose in this paper to present a case of multiple congenital anomalies appearing in the same individual and to describe in some detail the operative procedures performed for their correction.

SUMMARY OF CASE  A white girl aged 17 years, single, was admitted to the Vanderbilt University Hospital outpatient department Sept. 9, 1943, complaining of amenorrhea. She reported that for the previous eighteen months sha had

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