. Diseases of infancy and childhood . Fig. 19.—Congenital Cystic Kidney, half natural size. (Langerhans.) Congenital Sacral Tumor. J. B., male infant, eleven months old, was brought to my childrens serviceat the German Poliklinik. He was breast-fed and appeared in good health. Themother noticed a large swelling over the sacral and lumbar regions. The infant did CONGENITAL MALFORMATTOXS OF THE RECTUM. 63 not seem to he in pain. The growth was non-infiamn-ialory and did not interferewith the niov^enients of the legs. The diagnosis of congenital liponria was made andan operation advised. The case
. Diseases of infancy and childhood . Fig. 19.—Congenital Cystic Kidney, half natural size. (Langerhans.) Congenital Sacral Tumor. J. B., male infant, eleven months old, was brought to my childrens serviceat the German Poliklinik. He was breast-fed and appeared in good health. Themother noticed a large swelling over the sacral and lumbar regions. The infant did CONGENITAL MALFORMATTOXS OF THE RECTUM. 63 not seem to he in pain. The growth was non-infiamn-ialory and did not interferewith the niov^enients of the legs. The diagnosis of congenital liponria was made andan operation advised. The case was sent by me to Dr. (ieo. F. Shrady for operationat St. Francis Hospital. The tumor was removed. The case Fig. 20.—Congenital Sacral Tumor. (Original.) Congenital Malformations of tile Eectum. E. R. Kirb}^^ states that these occur under the following types:— 1. Congenital narrowing of the anus or rectum, without completeocclusion. The anal aperture is at times preternaturally small, either inconsequence of a contraction of the low^er end of the rectum, or from thefact that the skin may extend occasionally over the border of the anal mar-gin. The diagnosis is usually easy, for the contraction is near the anus andcan be readily detected by the finger, or seen when due to a fold of skinextending across the anus. The treatment consists in dividing the ring orskin on the dorsum, and daily dilatation, either wath the finger or soft-rubberbougie. 2. Closure of the anus by a membranous diaphragm (atresia of theanus) is the simplest of all forms of congenital malfonnations, and is treatedby a crucial incision through the membrane. 3. In imperforate rectum one may expect to find some of the nu^
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