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A CASE OF STENOSIS AND ATRESIA OF THE ALIMENTARY TRACT WITH IMPERFORATE ANUS

CHARLES GOOSMAN, M.D.
JAMA. 1910;LIV(9):704. doi:10.1001/jama.1910.92550350001001l.
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History.  —The history of both parents was negative. Labor was normal except that the amniotic fluid was distinctly increased in amount. The infant, a male, weighed 6 pounds. The cry was feeble. Imperforate anus was found when the baby was washed. Twelve hours after birth vomiting commenced, arousing a suspicion that an occlusion might exist in upper part of alimentary tract. The vomitus was bile-stained and continued at frequent intervals until death sixty hours after birth.

Post-mortem Examination.  —A median perineal incision disclosed the blind end of the rectum about three-quarters of an inch from the surface. The bowel contents were grayish white and flaky, not resembling the meconium. The introduction of a probe showed this part of the bowel to be closed about 1½ or 2 inches farther up. On removing the stomach and intestines it was found that the large intestine (containing

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