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Article
March 1952

SURGICAL MANAGEMENT OF CONGENITAL MALFORMATIONS OF THE ANUS AND RECTUM: Report of One Hundred Eleven Cases

Author Affiliations

PHILADELPHIA; MINNEAPOLIS

AMA Arch Surg. 1952;64(3):331-344. doi:10.1001/archsurg.1952.01260010345008
Abstract

CONGENITAL malformations of the anus and rectum are rather uncommon, but when they do occur it is imperative that they be recognized early and a rational plan of treatment instituted promptly. These anomalies may constitute an immediate danger to the life of the patient when bowel obstruction is complete, or they may cause no impairment of general health and become a source of complications later in life.

HISTORY  Congenital anomalies of the anus and rectum have been observed and reported since antiquity by Greek, Roman, and Arabic physicians. They regarded these anomalies chiefly as objects of medical curiosity, and treatment was considered beyond the scope of surgical capabilities.In the seventh century Paulus of Aegina recognized a case of imperforate anus and described an operation for its relief. He passed a bistoury through the perineum and later dilated the opening with bougies. In 1640 Scultet reported a case of congenital

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