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Case Reports |

CONGENITAL ABSENCE OF THE COLON

EDMUND W. KLINEFELTER, M.D.
Am J Dis Child. 1935;50(2):454. doi:10.1001/archpedi.1935.01970080148012.
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ABSTRACT

On Jan. 21, 1935, a tripara, 30 years old, was delivered without difficulty of an apparently well developed girl, weighing 6½ pounds (2,948.34 Gm.). Six hours after delivery the child vomited a thick, dark greenish, meconium-like material. From this time until death, which occurred three days later, similar vomiting occurred at intervals of from four to eight hours. Water which was given was promptly regurgitated. Forty hours after the birth of the child, the nurse called my attention to the fact that no feces had been passed, although urine was passed in good quantity. Examination of the rectum made at this time digitally and with a catheter revealed a complete closure of the bowel 1 cm. above the anus. The abdomen was markedly distended and tympanitic. Sounds of peristalsis were audible. The pulse rate had increased from 130, at birth, to 160. During this examination approximately one teaspoon of the

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