140 THE SEX-COMPLEX 



Evidence this is enough to throw doubt on these two cases. 

 reported. Lastly, it may be mentioned that in some of the sup- 

 posed cases, such as that of Landau and Pick, large 

 tumours have been said to be ovitestes. These growths 

 can hardly be accepted as ovitestes, for they must 

 present many difficulties in the way of such a 

 diagnosis. 

 Author's I shall now describe my own case, which is probably 



glandular tne most complete example of glandular partial herma- 

 partiai phroditism on record, and may, therefore, be taken as a 



aphroditism. prototype of this class of case. 



S.B., set. 17 years, was first seen on 8th November 

 1912. 



Past History. — Menstruation had commenced during 

 the f ourteenth year. The cycle had been ^ 8 days. There 

 had been no menstrual pain. The patient was said to 

 have suffered with inflammation of the bowels when she 

 was 7 years of age. 



Present History. — The patient has had amenorrhcea 

 for 18 months, and there have been no menstrual 

 molimina. The general health is good. There has 

 been no trouble with the bowels or bladder. The voice 

 has been getting deeper. 



On examination nothing abnormal was felt in the 

 abdomen, or per rectum. The thyroid was found to be 

 slightly enlarged. 



A diagnosis of hyperplasia of the suprarenal cortex 

 was made, and the patient was treated with ovarian 

 and thyroid extracts for some time. 



On August 25th 1914 the patient, who had not been 

 seen for eight months, again presented herself. It was 

 then at once noticed that she had become more masculine 

 in appearance : she had a slight moustache and a 

 masculine distribution of hair on the trunk and legs 

 (fig. 42). There was still complete amenorrhcea. 



The patient under anaesthesia was examined a few 

 days later. The clitoris was found to be much enlarged, 

 measuring two inches in length, and there was a well- 

 marked prepuce. Per vaginam the left genital gland 

 could be felt somewhat enlarged. No tumour was 

 discovered in the suprarenal region. 



Subsequently the patient was admitted to hospital. 



