Annals of surgery (1885) (14596727180)

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• Source book page: https://archive.org/stream/annalsofsurgery44philuoft/annalsofsurgery44philuoft#page/n340/mode/1up

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:
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 symphysisamounted to three centimeters, and the picture of the exter-nal genitals was the usual one associated with epispadias ofa marked degree. The labia majora and minora wereseparated above, and at the anterior end of each labiumminus was situated a half of the divided clitoris. Abovethe 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 fingerinto 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 childs parents,the greater portion of the bladder prolapsed through theopening. We had to deal, therefore, with an extreme degreeof epispadias, but with only a partial ectopia of the bladder.
Text Appearing After Image:
Fig. 5.—Epispadias with fissure of neeli of bladder. Fissure of pelvis.

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