IIERMAPHRODITISM. 



705 



Fig. 297. 



large vessels was abnormal. The other twin 

 child was well formed and lived. 



l>. The case of transverse hermaphroditism 

 observed by Bouillaud* was even still better 

 marked than 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 Bouillaud to be the state of the external 

 and internal sexual organs. 



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



Fig. 298. 



well developed fimbriae (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 

 (&) and Fallopian tube (/) were likewise dis- 

 covered, but they were displaced and separated 

 from the body of the uterus. The ovary lay in 

 the iliac region, and above it and towards its 

 outer 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 filled with 

 quicksilver through a small opening between 

 the fimbriae. Below this it was impervious, 

 and apparently diverged off into two prolonga- 

 tions, one of which (the round ligament) passed 

 down into the inguinal canal, and the other 

 crossed over with a fold of peritonaeum to where 

 the rectum and urinary bladder were preter- 

 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 case 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 

 deep and displaced origin of one of the tubes 

 in instances of congenital obliquity of the 

 uterus. 



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 (a), and furnished with a prepuce (6). 



The urethra (fig. 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 (J?g.299, 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 urethras (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 and better marked than 

 it usually is upon male subjects. The various 

 muscles of the male perinaeum (fig. 298, c c) 

 were present, and very perfectly formed. The 

 constrictores urinae 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. cle Med., torn. x. p. 466. 

 " Exposition Raisonnee d'un cas de nouvelle et 

 singuliere variete d'hermaphrodisme observee chcz 

 1'hoinmc." 



3 A 



