HERMAPHRODITISM. 



009 



genital organs, tliere existed on the left side 

 a very distinct ovary, a round liir.inicjiit which 

 ran outwards to the groin of the same side, 

 and a well-formed Fallopian tube with its 

 usual fimbriated extremity. The other extre- 

 mity of the Fallopian tube terminated in 

 the fundus of the uterus, which occupied its 

 usual situation between the bladder and rectum. 

 On the right side, again, there was a slender 

 elongated testicle, which had moved forwards 

 to tin- corresponding inguinal canal, but had 

 not proceeded so far as to pass out of the ab- 

 dominal cavity. On the superior part of the 

 testicle was a body resembling the epididymis, 

 and the testicle itself sent off two tubes, which 

 afterwards united into one immediately before 

 their insertion into the uterus. The external 

 genital organs were those of ahypospadic male, 

 and during life the person had been always 

 looked upon as belonging to the male sex. The 

 perinatal canal or vagina terminated, between the 

 scrotum and root of the imperforate penis, in a 

 very small opening, which was common to it 

 and to the meatus urinarius. 



b. In 1 754,* a young person of about eighteen 

 years of age died in the Hotel Dieu of Paris; 

 and in dissecting his body, the anatomist, Varole, 

 found the reproductive organs malformed in the 

 following manner. On the right side the 

 scrotum contained a testicle, and the vas defe- 

 rens arising from it opened, not as usual into 

 the neck, but into the middle of the external 

 border of the corresponding vesicula seminalis. 

 On the left side the scrotum was empty ; and 

 internally on this side there were found an 

 ovary, a Fallopian tube with its fimbriated ex- 

 tremity, a small oval uterus without a neck and 

 somewhat flattened, and a broad and round 

 ligament, the last of which ran outwards, and 

 was lost in the cellular tissue of the left half of 

 the scrotum. The vesicula seminalis on the 

 right, and the imperfect uterus on the left side, 

 communicated by a canal of an inch and a half 

 in length. The external organs were male ; but 

 the penis was very small, had no corpus spongi- 

 osum, and was imperforate for half an inch at 

 its anterior extremity. The mamma! were as 

 large as in women of the same age. The indi- 

 vidual had been regarded during life as a male. 



c. In 1825 the late Professor Kudolphif de- 

 tailed to the Academy of Sciences at Berlin 

 the case of an infant who was reported to have 

 died seven days after birth, and whose sexual 

 organs exhibited the following interesting in- 

 stance of lateral hermaphroditic conformation. 



Mcckcl (Reil'i Archiv. Bd. xi. 8. 322.) considers 

 Morand's and Local's as two different cases, and 

 points out that what is described as the male side 

 10 the one, was the female in the other, and rice 

 versa. It is, perhaps, not unworthy of remark, that 

 in the coloured plate accompanying the translation 

 of Morand's case by Gamier, the male and female 

 sides have been reversed from an error in the en- 

 graving ; and this circumstance may have contribu- 

 ted to mislead Legal in his description, provided he 

 happened to look to this notice of the case. 



* Mvm. de la Soc. Mcd. de Paris, torn. iv. p. 

 342. 



t Abhandlnng. Konig. Akad. dcrWisscnschait. zu 

 Berlin fUi 1825, . 60. 



On the left side were discovered an ovary 

 (Jig. 291, a), without a distinct broad ligament, 



Fig. 291. 



Fig. 292. 



Ulena (c) turned downwards and forwards to show 

 itt posterior surface and connections, Ifc. 



and a Fallopian tube (6), which communi- 

 cated with the superior and left portion of an 

 uterus (c). The left side 

 of the scrotum (Jig. 292, 

 a), was empty ; the right 

 (b) contained a testicle 

 f/g.291 ,d) furnished with 

 an epididymis(e) and tor- 

 tuous vas deferens ( /"). 

 Below the uterus there 

 was a hard flattened ovoid 

 body (fig. 291, g, and 

 fig. 293, A), which, when 

 divided was found to 

 consist of a cavity with 

 thick parietes, and was 

 considered by Rudolph! External 

 as the prostate gland in a rudimentary state. 



Fig. 293. 



Os uteri, vagina, 

 jirostmte, mid vas 

 deferens. 



The mouth of the uterus 

 (Jig. 293, a) terminated be- 

 low in the parietes of this 

 ovoid body, and on the 

 right the vas deferens (d) 

 penetrated into its sub- 

 stance, but without open- 

 ing into its cavity. At the 

 inferior part of the uterus 

 there was a true vagina 

 (Jig. 293, c), which termi- 

 nated in a cul-de-sac. The 

 anus, rectum, and other 

 organs were natural. The 

 external sexual parts were 

 male, but the penis was divided inferiorly 

 (Jig. 292, c). The testicle and ovary were sup- 

 plied with the two usual spermatic arteries 

 fe. Ml, ft A> 



d. Under the present section of lateral herma- 

 phroditism, we may also, according to Mayer's 

 report, include the celebrated case of Marie 

 Derrier, or Charles Doerge.* This person was 

 baptised and brought up as a female, but at 

 forty years of age was persuaded to change his 

 name and dress to those of a man. We have 

 already alluded to the great diversity of opinion 

 which was entertained by the medical men of 



Gazette Med.de Paris (1836"), no. 3<1. Lancet, 

 v. i. for 1836-7, p. 140; or London Medical Ga- 

 zette for October 29, 1836. 



