Sir: In the case report by Gerlis and Anderson (British Heart Journal, 1976, 38, 108), the authors are not correct in saying that there is no previous description of imperforate Ebstein's anomaly of the tricuspid valve. In 1973, we reported a case of Ebstein's malformation of the tricuspid valve with complete obstruction to the tricuspid valve orifice, i.e. atresia (Rao et al., 1973). The assoc...

A full-term male neonate with anorectal anomaly and external perineal anomalies was referred to our service. Physical examination showed an epithelized perineal mass with cutaneous orifices, which had urine fistulization, hipotrofic perineal musculature, bilateral congenital clubfoot, hipospadic urethra, criptorquidy bilateral with nonpalpable testis and imperforate anus. A colostomy was constr...

Urorectal septum malformation sequence (URSMS) is an extremely rare anomaly, consists of multiple system anomalies including ambiguous genitalia, absence of a perineal opening, an imperforate anus, and urological, colonic and lumbosacral defects. We describe a newborn with characteristic URSMS who also had features of congenital varus deformity of leg, polydactyly, tracheo-oesophageal fistula, ...

Omphalocele, exstrophy of cloaca, imperforate anus and spinal defect (OEIS Complex) is an extremely rare combination of serious defects, which was firstly described by Carey and colleagues. Surgical repair of cloacal exctrophy in patients with OEIS complex can be performed at one stage, but it can also be performed safely as staged to minimize the potential complications. In this case report, w...

The isolated anomaly of imperforate lacrimal puncta was noted by Zehender (i867, I883). Similarly, blockage of the naso-lacrimal duct was noted by Crigler (1923) and Guerry and Kendig (1948), the anomaly usually being due to failure in canalization. The simultaneous occurrence of these two anomalies would appear to be very rare (Fig. i) and an extensive search of the literature has revealed onl...

Recently I was called to see a new-b?r male child who had not passed any urine si'1(,?> birth about 72 hours previously. ^ The baby was quiet and there was no bulging the lower part of the abdomen suggesting disteii?1 of the bladder. On examination no external urethral opening c?1' | be found. In the normal position of the extei meatus a slight depression was present. The Pre^he was short and c...