Identifier: annalsofsurgery44philuoft (find matches)
Title: Annals of surgery
Year: 1885 (1880s)
Authors:
Subjects: Surgery
Publisher: Philadelphia Lippincott
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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Text Appearing Before Image:
In the absence of an X-ray examination this fea-
ture may however escape notice. In a little girl of five,
operated upon by myself, the separation at the symphysis
amounted to three centimeters, and the picture of the exter-
nal genitals was the usual one associated with epispadias of
a marked degree. The labia majora and minora were
separated above, and at the anterior end of each labium
minus was situated a half of the divided clitoris. Above
the hymen one could look directly into the infundibulum,
the inferior wall of which was lined with the mucous mem-
brane of the widely-gaping urethra. Through this infundib-
ulum it was readily possible to introduce the little finger
into the bladder. On straining, a small section of the pos-
terior wall of the bladder came into view; years ago,
according to the statement made by the child's parents,
the greater portion of the bladder prolapsed through the
opening. We had to deal, therefore, with an extreme degree
of epispadias, but with only a partial ectopia of the bladder.
Text Appearing After Image:
Fig. 5.—Epispadias with fissure of neck of bladder. Fissure of pelvis.

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