Congenital anomalies often are of extremely practical as well as of academic interest. I have seen three cases in the past year in which there was no anus, and the child passed feces by way of the urethra. Imperforate anus alone is not extremely rare. The presence, however, of a urethral exit has been considered unusual. Zoehner1 stated that rectal abnormalities occurred once in 25,000 births. It has been variously estimated by other observers that they occur even more frequently; some authors mention an incidence as high as one in 15,000. Recently Starr2 reviewed the statistics and stated that rectal anomalies are found once in every 10,000 new-born infants. These figures include, of course, any abnormalities in the anus or rectum. A rather cursory examination of the literature shows that a urethral outlet is rare. Matusovszky,3 in 1928, found only nineteen cases. I think that his statistics
HELWIG FC. IMPERFORATE ANUS WITH EXIT THROUGH PROSTATIC URETHRA: REPORT OF THREE CASES. Am J Dis Child. 1929;38(3):559–561. doi:10.1001/archpedi.1929.01930090111014
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