92 ABNORMAL CONDITIONS OY THE DIGESTIVE ORGANS. 



the notice of the surgeon is atresia ani, or arrest of develop- 

 ment of the lower extremity of the rectum. 



397. A portion of the rectum of a Child born with an im- 



perf orate anus. It has been considerably distended by 

 the meconium. Presented by Sir W. Blizard. 



398. A similar preparation. Presented by Sir W. Blizard. 



399. The rectum of a female Child nearly two months old born 



with an imperforate anus, for which no operation was 

 performed ; it is much distended, and its muscular coats 

 are hypertrophied. The following note is extracted from 

 Hunter's Manuscript ( Cases and Dissections : ' " Upon 

 examination of the body the large intestines were found 

 very much enlarged and distended, particularly towards 

 the rectum. The jejunum and ileum were slightly in- 

 flamed , the viscera in other respects appeared natural. 

 The colon and rectum contained fluid faeces." 



Hunterian. 



400. The rectum of a Child with imperforate anus ; the last inch 



of the bowel is represented by a fibrous cord only; it is 

 much distended above, and its coats are thickened. 



401. The rectum of a female Child which was born with im- 



perforate anus, in which the operation was performed ; 

 death took place a few hours after. Hunterian. 



402. The rectum of a female Child born with an imperforate 



anus. The operation was performed more than a month 

 before death. Presented by A.C. Hutchison, Esq., 1828. 



403. The rectum of a male Child upon whom the operation for 



imperforate anus was performed with some success. In 

 this instance the trochar had to be introduced three inches 

 before it reached the intestine. The child survived more 

 than ten months. The parts around the artificial opening 

 are much contracted by the action of the spirit in which 

 it is preserved, so that its length is reduced to little more 

 than an inch. The child suffered much from constipa- 

 tion, sometimes for three weeks at a time, and also from 

 a small fistulous opening between the intestine and the 

 urethra ; the urine first became tinged with fseces at the 

 end of three months. The intestine above the structure 

 is greatly dilated and hypertrophied. 



Presented by A. C. Hutchison, Esq., 1823. 



