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The patient was a male infant, born Oct. 13, 1911. The parents are healthy, but father is 71 years old, and mother, 36. The patient was the second child born to this couple. The other child, aged 5, is healthy but is backward and otherwise defective mentally. In the case under consideration labor was normal, with the exception of some dystocia due to enormously distended abdomen due to gas. It was found that no opening existed between the anal aperture and the rectum. This was punctured and the opening dilated, partially relieving the distention. The child lived four days; it took very little nourishment, but there was no vomiting. The distention remained throughout. Autopsy revealed that while the small intestines were normal, the colon was undeveloped, being about 1 cm. in diameter, and was constricted at intervals of about 8 cm. throughout its entire course.
HAMILTON CH. CONGENITAL IMPERFORATE ANUS, WITH OCCLUSION OF ENTIRE COLON. JAMA. 1911;LVII(27):2138. doi:10.1001/jama.1911.04260120328016
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