1857 The Lancet  
480 flattened and smaller, of a deep pink colour, instead of the blood red at birth. The mucous membrane was shiny, at the lower part of which were seen the orifices of the ureters, smaller than peas, giving exit to urine drop by drop, or in small streams, as the child cried strongly. The penis was short, projected forwards from the sides of the pubes, which were widely separated, and the organ was irregularly developed, the open urethral canal remaining along its short dorsum. A fold of
more » ... m. A fold of foreskin was situated beneath the glans. The testes were in the scrotum. The wide separation of the pelvic bones gave a peculiarly prominent and swollen appearance to each groin. By way of contrast, Dr. Gibb at the same time showed a drawing of this deformity in an adult, associated with congenital inguinal hernia; but differing from the child in there being an absence of any urethra at all, and also no umbilicus. Dr. BRISTOWE asked, after the child was removed, if it had a navel, to which Dr. Gibb replied in the affirmative, and he mentioned there was inflammation of the skin between the navel and tumour at birth, which subsequently disappeared. Mr. LONSDALE showed a specimen of TALIPES EQUINUS. ' , He was indebted to the kindness of Mr. Nunn, of the Middle-I sex Hospital, for the opportunity of showing the preparation. The points of interest in the specimen were, that it explained the cause of a difficulty that is sometimes met with in the treatment of this kind of deformity-viz., the inability to replace the astragalus into its normal position beneath the articular surface of the tibia. He had met with two cases of the
doi:10.1016/s0140-6736(00)58206-3 fatcat:fcnzohxbsfetxprl66pzb3taja