268 J. F. GUDERNATSCH 



side, so that the organ offered rather the aspect of a hypospadia 

 penis than that of a cUtoris. 



No uterus was present and the vagina ended blindly (atresia 

 vaginae). During the course of embryonic development, there- 

 fore, the greater part of the Miillerian ducts had been lost and the 

 formation of the genital apparatus must have inclined toward the 

 male type. A prostate-like organ was felt attached to the ure- 

 thra, yet its real nature remains doubtful, since no microscopic 

 examination could be made. In other cases in which both a vagina 

 and prostate have been found they were seen to be connected with 

 one another, but in the present instance no detectable communi- 

 cation existed between the vagina and the supposed prostate. 



The distribution of the hair on the body was that tj-pical of 

 the female. The pelvis was wide, but mammary glands were not 

 developed, and the larynx was externally that of the male. The 

 secondary sexual characters were not so decidedly of the male 

 type that there arose any doubt about the sex of the individual, 

 although the knowledge of the malformation existed. The indi- 

 vidual was believed by herself and her associates to be a woman. 



The individual has never menstruated, sexual intercourse has 

 never taken place, and libido sexualis is not present. Her psy- 

 chic disposition is that of a woman and she earns a living as a cook. 



The tumor in the left inguinal region was left in place since it 

 did not cause inconvenience and that in the right channel was 

 removed. The nodule extirpated had about the form of a testicle 

 with attached epididymis. It measured 6 cm. in length and 5 

 cm. in width and thickness. Histologically it proved to be male 

 genital tissue, with the exception of a small nodule which exhibits 

 a structure very similar to that of an ovary. Dr. James Ewing 

 diagnosed this region of the specimen as true ovarian tissue. 

 Others who were asked to examine the sections agreed with Dr. 

 Ewing in considering the tissue ovarian.' 



1 I wisli to thank Prof. A. Kohn, the well known histologist in the German Uni- 

 versity of Prague, for his careful examination of the sections and for the many sug- 

 gestions he made in regard to their interpretation. The preparations were also 

 demonstrated before the Eighth International Zoological Congress in Graz, and 

 the structure was interpreted by all as ovarian. 



