An American text-book of the diseases of children .. . MALFORMATIONS OF THE RECTUM AND ANUS. 599 Fig. Anus absent; the Recturn ends in the Bladder. (After Ball.) Fig. 8. bladder, either by a narrow orifice near the base of the organ or by an open-ing near its fundus (Fig. 7). The absence of the anusand the escape of fiecal matter intimately mixed with urineat the time of urination would point to the nature of thisvery serious malformation. Treatment.—In the treatment a staff may be intro-duced through the urethra into the bladder, and an incis-ion made through the perineum into the neck of
An American text-book of the diseases of children .. . MALFORMATIONS OF THE RECTUM AND ANUS. 599 Fig. Anus absent; the Recturn ends in the Bladder. (After Ball.) Fig. 8. bladder, either by a narrow orifice near the base of the organ or by an open-ing near its fundus (Fig. 7). The absence of the anusand the escape of fiecal matter intimately mixed with urineat the time of urination would point to the nature of thisvery serious malformation. Treatment.—In the treatment a staff may be intro-duced through the urethra into the bladder, and an incis-ion made through the perineum into the neck of thebladder, as in lithotomy, and continued into the the result of this operation the immediate symptomsof obstruction may be relieved, but the patient is left witha urinary and faecal fistula. Ball suggests a laparo-colot-omy, and, when the colon has been found, its completedivision, with closure of the lower portion and the bring-ing out of the upper portion at the wound, and securingit in that position to establish an artificial anus. Thisoperation, although attended with greater immed
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Keywords: ., bookcentury1800, bookdecade189, booksubjectchildren, bookyear1895