著者
佐多 祐策 酒井 朗 唐木 保照 土持 綱治
出版者
昭和大学学士会
雑誌
昭和医学会雑誌 (ISSN:00374342)
巻号頁・発行日
vol.12, no.1, pp.31-36,53, 1952-03-01 (Released:2010-09-09)
参考文献数
13

Congenital anal atresia is a malformation which is fairly frequently encountered in the clinic. Recently, the authors happened to fall upon a case of simple anal atresia and a case of complicated vesical anal atresia accompanied by female spurious hermaphrodism in the Department. Therefore, the cases are reported and discussed in the present paper for the purpose of comparative considerations.Most cases of simple anal atresia or complicated anal atresia are usually first diagnosed on the occash, n when the clinical symptoms of ileus have appeared. Plastic operation for the case of simple anal atresia, and artificial anus for the case of complicated vesical anal atresia was indicated. Surgical treatment of plastic operation of anus was performed on these cases 4 months after the first operations.In the case of vesical anal atresia, the fact that it was accompanied by female spurious hermaphrodism was discovered during the second operation. Therefore, a review on the embryological pathology of complicated anal atresia was attempted, and discussions were made on the genesis of hermaphrodism with reference to the past literatures on the subject.