Abstract

A postmortal histological study of the enteric plexuses and ganglionic cells in the distal rectal wall was made on 22 infants with congenital anorectal malformation,and 5 normal died newborns as controls.The rectal wall under study was 2 cm in length:12 from patients of supralevafor type deformity,6 from intermediate.and 4 from infralevator type deformity(3 out of these 4 having been operated).Normal plexuses and ganglionic cells are found in the distal segment of the rectum of all patients.The number of the plexuses and ganglionic cells does not vary as the types of the malformation,but does vary as the birthweight of the babies and the thickness of the rectal wall.The number of plexuses and ganglionic cells in 3 patients with vestibular fistula is same as that in normal infants. but they a re absent in the distal rectal wall of 1 to 2 cm in length in the postoperated patients.

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