File:Gynecological diagnosis (1910) (14778287545).jpg

Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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scape of meconium or feces by the vagina. Imperforate Anus.—Imperforate anus, due to failure of develop-ment of the proctodeum, is a not uncommon anomaly. Theremay be no trace of the anus, or its situation may be marked by aslight depression or by a wart-like prominence. Imperforate anus with anal canal ending in the vulva is commonand is confounded with imperforate rectum having a vaginal outlet.Incontinence of feces is generally present in these cases. 562 INFANCY AND CHILDHOOD Anus well formed and the anal canal ending above in a cul-de-sacis not uncommon. In this anomaly the child on straining causesthe septum dividing the rectum from the anal canal to protrudefrom the anus. The obstetrician should examine the anus of every new-bornchild with a view to discovering the abnormalities just described.His little finger well anointed and introduced through the sphincterani will go a long way toward finding an anomaly before it hascaused serious symptoms. A thorough examination must be
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Fig. 206.—Pelvic Organs of a Female Infant at Birth. (After Bland-Sutton.) Showing elongated ovaries and the Fallopian tubes in close relationwith the internal abdominal rings. instituted in case a baby has not had a movement of the bowelswithin twenty-four hours after birth and in case there is incontinenceof feces. Prolapse of the Uterus.—Prolapse of the uterus in a new-bornchild is a rare condition. Ballantyne and Thompson (Amer. Journ.Obstet.j 1897, Vol. II., p. 35) reported eight cases from the literatureand their own experience. The anomaly seems to be associatedwith lumbo-sacral spina bifida and rectal prolapse,—often withclub-foot and sometimes with hydrocephalus, so that it may be ANOMALIES 563 regarded as one of those congenital malformations that occur inchildren destined to have a short life. Two cases are on record ofprolapse in girls of thirteen, due in one case to a persistent coughand in the other to carrying heavy burdens. I have myself seen acase of prolapse in

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