A case of congenital atresia of the sigmoid colon is reported not only because of the rarity of the condition but because the case illustrates certain points to be observed in the diagnosis of gastro-intestinal conditions in the new-born.
REPORT OF CASE
S., a boy, entered the University Hospital forty-eight hours after a spontaneous delivery with breech presentation after a labor of eight and one-half hours. No meconium was passed during delivery or at any time subsequently, although urine was voided normally. The weight at birth was 6 pounds and 13 ounces (2,996 Gm.). Moderate difficulty was experienced in initiating respiration, and during the first day the legs, hands and face repeatedly became cyanotic. Respirations were shallow and feeble. The infant vomited twice during the first day and then regurgitated frequently during the second day.Physical examination showed a markedly icteric infant with cyanotic hands and feet. The abdomen was