710 



I1ERMAP11RODITISM. 



distinctly marked. Between the rectum and 

 bladder there was placed a very large pear- 

 shaped bag or pouch (./'), with firm, coria- 

 ceous, but not thick walls, and distended with 

 fluid. This bag or imperfect cystoid uterus 

 terminated inferiorly by a narrow neck, in a 

 vagina that opened into the urethra, in the situ- 

 ation of the verumontanurn, and was there 

 dilated into a large bag or ampulla, occupying 

 exactly the site of the prostate gland, and re- 

 sembling this organ also in its form and posi- 

 tion. The internal membrane of the uterus 

 was collected at its neck into numerous val- 

 vular-like folds, and that of the vagina had 

 also a rugous or plicated arrangement. From 

 the fundus of the large sac of the uterus, and 

 not from its angles, but from near its middle, 

 two impervious solid ducts (Fallopian tubes, 

 or rather vasa deferentia,) arose, and after a 

 somewhat flexuous course reached the testicle 

 (c f) lying in the superior part of the iliac 

 fossae. These ducts had attached to them at one 

 or two points a number of small reddish nodules 

 (b b), consisting, according to Steghlener, of 

 glandular granules, and described by Acker- 

 mann in his case as vesiculae seminales. The 

 canal of the urethra was obliterated for a short 

 distance towards the fossa navicularis, and the 

 urinary bladder ( j) and uterus (i i) were ex- 

 tremely distended, and the left kidney (i) was 

 vesicular. 



Mayer, in the work already referred to,* has 

 described and delineated the following five 

 cases of the present species of hermaphroditic 

 malformation in the human subject, all of 

 which he had himself met with and dissected. 



f. In a foetus of the fourtli month, and 

 affected with omphalocele and extroversion of the 

 urinary bladder, he found male testicles (fig- 302, 



Fig. 302. 



a ) with their epididymes (b b}, and a two- 

 horned uterus (c) terminating in a vagina (//), 

 that opened into the posterior part of the uri- 

 nary bladder (e). From the left testicle a con- 

 torted vas deferens (/) arose, and ran down to the 

 vagina; the right vas deferens (g) was shorter, 



and became thread-like, and disappeared near 

 the corresponding cornu of the uterus. A ru- 

 diment only of the left male vesicula seminalis 

 was observable. The external organs were 

 male; the glans penis (h} was imperforate. 



g. In another foetus of the sixth month,* 

 there existed a perfect set of internal and exter- 

 nal male sexual organs, viz., testicles, epididy- 

 mes, vasa deferentia, and vesicuUe seminales, 

 with a prostate gland and a normally formed 

 penis and scrotum. But besides these, there 

 was also present an imperfect female uterus, 

 the body of which divided into two cornua, the 

 right longer and incurvated, the left shorter and 

 sacciform. The neck of the uterus was marked 

 internally by its usual arborescent appearance ; 

 and it opened into a vagina that terminated in 

 the urethra near the exit of the latter from the 

 urinary bladder. 



h. In a third casef of hermaphroditic malfor- 

 mation in an infant who diedof convulsions when 

 six months old, Mayer found the following blend- 

 ing of the organs of the two sexes. Of the 

 internal male genital organs there were present 

 two bodies at the inguinal rings that were evi- 

 dently testicles, (Jig. 303, a, ) as was proved 



Fig. 303. 



* Iconcs Select. &c. p. 8-16. See also Walther 

 and Graefe's Journal der Chirurgie und Augen- 

 hcilkunde, Kd. vii. Hft. 3, and Bd. viii. Hft. 2. 



not only by their position, but by their form, 

 coverings, connections, and internal structure, 

 (" their substance," says Mayer, " being evident- 

 ly composed of yellow canals") ; their epidi- 

 dymes (b b} were also distinctly developed, and 

 each of them sent off a vas deferens (c c), which 



* Iconcs, p. 8. tab. ii. fig. 5. 



t Icones, p. 9, tab. iii. lig. 1 and 2. 



