ON JULY 5, 1951, at the local hospital, I delivered spontaneously after a mesiolateral episiotomy on a 22-year-old primipara a living male child whose birth weight was 6 lb. 2 oz. (2780 gm.) Routine inspection of this newborn infant disclosed an imperforate anus. All oral fluids were immediately interdicted. A short time later, x-ray of this baby in the head-down position in accordance with the Wangensteen-Rice method1 showed a gas bubble at the blind end of the intestinal tube within 1½ in. (3.8 cm.) of the normal location of the anal orifice. This baby was taken posthaste to a large Midwestern clinic, where definitive surgical repair of his proctological defection was accomplished before the baby had attained an age of 24 hours. At the present time, this child appears and acts as an entirely normal 3-year-old boy and enjoys normal physiologic functions of the anorectal organs.
On Sept. 6,