Before the birth of the baby under discussion, the mother was thought by her obstetrician to be carrying a monster. Wisely the obstetrician did a cesarean operation and delivered a baby with a large mass attached to the right perineal and buttock region. This he diagnosed as a meningocele, and a consulting neurologist concurred in the diagnosis. The family was given a hopeless prognosis. When the baby was 18 days old Dr. Louis C. Johnston was called to see her and asked me to see her with him.
We found a lusty, crying infant, uncomfortable probably because of the posture necessitated by the large mass mentioned. Her general condition seemed quite normal aside from this mass.
The mass extended entirely from the right side of the perineum and the region of the right buttock. There was so much tension on the anus that there was an almost continual emission of