Pawnee City, Neb., Aug. 10, 1898.
To the Editor:
—After describing the more usual forms of malformations, Dr. C. A. Kelsey,1 says: "In addition to these more common malformations there are various others. The anus may open by an abnormal anus at any point in the perineal or sacral regions, or it may end in the bladder, urethra or vagina." Bearing on this subject I wish to report the following interesting case which came under my observation:Miss—, age 23 years, small of stature, of good family history, has one older sister who menstruated quite young; has never menstruated. About a year and a half ago she and her mother came to me with the following history: when she was born, it was discovered that there was no anal orifice and she was given up to die by the physicians, but after a few days straining the nurse noticed
Bullard JW. Congenital Absence of the Uterus and Anus, the Rectum Ending in the Vagina. JAMA. 1898;XXXI(9):479–480. doi:10.1001/jama.1898.02450090045011
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