The
anus at birth was imperforate, but the child was successfully
operated on, and at its sixtieth day weighed 17 pounds.
Lange says that an infant was brought to Karg for relief of anal
atresia when fourteen days old. It was found to possess duplicate
penises, which communicated each to its distinct half of the
bladder as defined by a median fold. The scrotum was divided into
three portions by two raphes, and each lateral compartment
contained a fully formed testicle. This child died because of its
anal malformation, which we notice is a frequent associate of
malformations or duplicity of the penis. There is an example in
an infant described in which there were two penises, each about
1/2 inch long, and a divided scrotal sac 21 inches long. Englisch
speaks of a German of forty who possessed a double penis of the
bifid type.
Ballantyne and his associates define diphallic terata as
individuals provided with two more or less well-formed and more
or less separate penises, who may show also other malformations
of the adjoining parts and organs (e.g., septate bladder), but
who are not possessed of more than two lower limbs. This
definition excludes, therefore, the cases in which in addition to
a double penis there is a supernumerary lower extremity--such a
case, for example, as that of Jean Baptista dos Santos, so
frequently described by teratologists.
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