HERMAPHRODITISM 



705 



/,' 297. 



large vessels was abnormal. The other twin 

 child was well formed and Hv> <!. 



b. The case of transverse hermapliroditisin 

 observed by Bonillaml * was even still better 

 marked lhan that of Eschricht. Valmont, the 

 individual who was the subject of it, died in 

 one of the hospitals of Paris of the epidemic 

 cholera. He was a hatter by trade, and had 

 been married as a male. No further particulars 

 of his history or habits could be obtained. 

 The following was found by MM. Manec 

 and Ikmillaud to be the state of the external 

 and internal sexual organs. 



Externally there was a penis (Jig. 298) of a 



Fig. 298. 



well developed fimbrine (e) at its abdominal 

 extremity, and the broad ligament or fold of 

 peritonaeum along which it ran contained an 

 oblong soft body (i), (which Eschricht considered 

 as distinctly an ovary,) and a round ligament 

 that took its course through the inguinal canal 

 of the same side. On the right side an ovary 

 (k) and Fallopian tube (_/") were likewise dis- 

 covered, but they were displaced and se|>arated 

 from the body of the uterus. The ovary lay in 

 tin 1 iliac region, and above it and towards its 

 (mil r side was placed the fimbriated extremity 

 of the corresponding Fallopian tube. The tube 

 presented towards this extremity a vesicular 

 swelling of the size of a small pea, which 

 admitted of being inflated and tilled with 

 quicksilver through a small opening between 

 llic limbrioe. Below this it was impervious, 

 and apparently diverged off into two prolonga- 

 tions, line of which (the round ligament) passed 

 down into the inguinal canal, and the other 

 m sM'd over with a fold of peritonaeum to where 

 the rectum and urinary bladder were prcter- 

 naturally connected together. Professor Jacob- 

 son suggested that this latter part was a rudi- 

 ment of the right half or horn of the uterus. 

 It may perhaps, however, be more properly 

 regarded as the commencement of the right 

 Fallopian tube, and in this ease it would, if 

 continued onwards, have been joined to the 

 neck of the uterus, an arrangement which 

 would be quite in accordance with the usual 

 ml displaced origin of one of the tubes 

 in instances of congenital obliquity of the 

 atoms. 



The child was malformed in other respects 

 also. The anus was imperforate, and the 

 rectum () opened into the urinary bladder, 

 which was very contracted. The kidneys (m) 

 were irregularly formed, and lay near the pro- 

 montory of the sacrum. There was an acces- 

 sory spleen, and the formation of the heart and 



VOL. II. 



medium size, terminating in a regularly formed 

 glans (), and furnished with a prepuce (4). 



The urethra (Jig. 299, b b) opened on the 

 inferior side of the glans (Jig. 298 &. 299, a). 

 In its course from this point backwards to the 

 bladder, it perfectly resembled the urethra of the 

 male, and was surrounded at its origin by a well- 

 formed prostate gland (Jig. 299, k k). Cowper's 

 glands were also present (fig. 298, d). The 

 verumontanum or caput gallinaginis was dis- 

 tinct, as well as the orifices of the prostatic 

 follicles; but the usual openings of the seminal 

 canals could not be found. The corpus spon- 

 giosum urethra (fig. 298, g) and the corpora 

 cavernosa (fig. 299, m m) were as well deve- 

 loped as in the perfect male subject. The 

 scrotum was small, and did not contain any 

 testicles; it presented on its middle a line or 

 raphe extending from the prepuce to the anus, 

 and which was harder ana better marked than 

 it usually is upon male subjects. The various 

 muscles of the male perinaeum (fig. 298, r f) 

 were present, and very perfectly formed. The 

 constrictores u rinse muscles (e) were particularly 

 long and thick. 



In the cavity of the pelvis two ovaries (fig. 

 299, d d), similar in form and structure, 

 according to M. Manec, to those of a girl of 

 fifteen or sixteen years of age, or (to adopt 



* Journ. Hebdom. <!e Med., torn. x. p. 46S. 

 " Kvposition Kaisonnee d'un cas do nouvclle et 

 singuliere varicte d'hortnaphrudismc observce che> 

 rhommc." 



3 A 



