Guinard pictures a case in which there was communication between the rectum and the bladder.

In Figure 140 a represents the rectum; b the bladder; c the point of communication; g shows the cellular tissue of the scrotum.
There is a description of a girl of fourteen, otherwise well constituted and healthy, who had neither external genital organs nor anus.

There was a plain dermal covering over the genital and anal region.

She ate regularly, but every three days she experienced pain in the umbilicus and much intestinal irritation, followed by severe vomiting of stercoraceous matter; the pains then ceased and she cleansed her mouth with aromatic washes, remaining well until the following third day.

Some of the urine was evacuated by the mammae.