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In one large handsome woman, twenty years old, with large and well-developed mammae, but undeveloped nipples, I found a regular vulva with ruptured hymen but the labia minora were very small, and there was exceptionally little hair upon the mons veneris. The vagina formed a blind sac long, and its columns were imperfectly marked.
A careful recto-abdominal examination showed no trace the uterus the plica? Douglassii lay directly against the bladder. In the left inguinal region the abdominal cavity was an elongated, smooth, somewhat movable body, the size an almond the right side, deeper and more difficult reach, was a similar one. The pelvis wasbut little inclined and though the hips were broad, the pubic arch was narrow. The palpably incorrect statement was made that there had been occasional slight menstruation since the sixteenth year.
The case reminded vividly the one Steglehner observed, female external genitals with the presence the testicle, though I could not demonstrate the existence the vasa deferentia. I was told, however, that the patient had been repeatedly noticed manifest erotic inclinations for young girls, which how to be a better essay writer would point towards hermaphroditism.
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The sequela? atresia, which depend upon the accumulation secretion above the place, seldom appear before puberty hence the majority cases have been observed in adults. Nevertheless, dilatation above the atresia may occur in young children and in the newborn, and may provoke an investigation. Veit mentions an observation Godefroy, where, in a child two months old, there cheap term papers sale was such an accumulation mucus behind an imperforate hymen, that caused difficulty in the evacuation urine and aaces.
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I have myself seen dilatation from retention the vagina and the collum uteri in specimens showing atresia in newborn girls.
I also saw later, in two newborn females, a very thin membrane closing the lower portion the vagina, close behind a well-formed hymen.
Through the dilated hymenal membrane the colorless, transparent, and shining septum was seen project in an arched form as soon as the children cried.
When kind enough demonstrate the new specimens revealed the important fact that there was not a single specimen which showed atresia the fully developed genital apparatus.
This explained the fact that none the clinical observed cases were fatal. the tension was relaxed the little finger could passed into the opening the hymen, and the fact ascertained that the septum was entirely distinct The bladder-like, cherry-sized tumor, which during the first two days projected through the vulva when the child cried, caused the parents great anxiety but the tumor disappeared without a trace upon the third day, with the evacuation a large amount thick, milky mucus, containing much desquamated vaginal epithelium.
The thin, transparent nature these membranes, and their sudden disappearance when once they are ruptured abdominal pressure, render probable that there were only adhesions folds the mucous membrane behind the hymen. Since then best essays book writing help writing service I database coursework have encountered a case a firmer septum retro-hymenale this nature, in a virgin fifty-four years old, suffering from sarcoma uteri. Perhaps some cases so-called double hymen belong this little-noticed form atresia. I have but once met with true atresia hymenalis in a newborn girl. The child was resume writing service business plan well developed, measured. inches, and weighed ounces. Its genitals were otherwise perfectly normal. The lrymen was formed a closed membrane, the posterior portion which was bellied forwards as a pea-sized, yellowish-white bladder.
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