REPORT OF CASE
L., a girl, was admitted to the University Hospital with the history of constipation, vomiting and abdominal distention.
Present Illness.
—Since birth, thirty-six hours previous to admission, the child passed nothing by rectum. The abdomen, which was somewhat distended at birth, gradually became more and more distended. The patient was cyanosed and stuporous.
Physical Examination.
—The child was apparently a fully developed girl, born at term. There was very marked cyanosis. The pulse was imperceptible. The examination was negative except that the abdomen was tightly distended. The superficial veins were very prominent. Percussion gave a tympanitic note everywhere over the abdomen. Peristalsis was not audible.The diagnosis was intestinal obstruction, cause not determined.The child was pacified with sugar tit. The abdomen was painted with picric acid, and a right rectus incision was made. The peritoneal cavity was full of a dark brown fluid; the presenting intestine