My interest in congenital occlusion of the duodenum by a complete diaphragm was aroused by the following case:
REPORT OF A CASE
History.—On December 27, 1924, a child, 4 days old, was seen at its home, and a history of normal labor and the delivery of an apparently normal child was obtained. However, when breast milk or water was given, it was vomited, usually within an hour, the vomitus being of a dark greenish color. A very small amount of dark colored mucus had been passed by rectum. Urine had not been voided.Examination.—Physical examination showed an emaciated child lying in the dorsal position, with mouth wide open and staring eyes; the skin and mucous membranes were markedly icteric; the pupils were equal, and reacted to light. The heart and lungs appeared to be normal. The upper part of the abdomen was tympanitic, but not distended, and the