Anomalies and Curiosities of MedicineGould, George M. (George Milbrey)
Science
Anomalies and Curiosities of Medicine
Gould, George M. (George Milbrey)
Abnormalities, Human; Medicine -- Anecdotes
O'Neill speaks of a case in which the clitoris was five inches long and
one inch thick, having a groove in its inferior surface reaching down
to an oblique opening in the perineum. The scrotum contained two hard
bodies thought to be testicles, and the general appearance was that of
hypospadias. Postmortem a complete set of female genitalia was found,
although the ovaries were very small. The right round ligament was
exceedingly thick and reached down to the bottom of the false scrotum,
where it was firmly attached. The hard bodies proved to be on one side
an irreducible omental hernia, probably congenital, and on the other a
hardened mass having no glandular structure. The patient was an adult.
As we have seen, there seems to be a law of evolution in
hermaphroditism which prevents perfection. If one set of genitalia are
extraordinarily developed, the other set are correspondingly atrophied.
In the case of extreme development of the clitoris and approximation to
the male type we must expect to find imperfectly developed uterus or
ovaries. This would answer for one of the causes of sterility in these
cases.
There is a type of hermaphroditism in which the sex cannot be
definitely declared, and sometimes dissection does not definitely
indicate the predominating sex. Such cases are classed under the head
of neuter hermaphrodites, possibly an analogy of the "genus epicoenum"
of Quintilian. Marie Dorothee, of the age of twenty-three, was examined
and declared a girl by Hufeland and Mursina, while Stark, Raschig, and
Martens maintained that she was a boy. This formidable array of talent
on both sides provoked much discussion in contemporary publications,
and the case attracted much notice. Marc saw her in 1803, at which time
she carried contradicting certificates as to her sex. He found an
imperforate penis, and on the inferior face near the root an opening
for the passage of urine. No traces of nymphae, vagina, testicles, nor
beard were seen. The stature was small, the form debilitated, and the
voice effeminate. Marc came to the conclusion that it was impossible
for any man to determine either one sex or the other. Everard Home
dissected a dog with apparent external organs of the female, but
discovered that neither sex was sufficiently pronounced to admit of
classification. Home also saw at the Royal Marine Hospital at Plymouth,
in 1779, a marine who some days after admission was reported to be a
girl. On examination Home found him to possess a weak voice, soft skin,
voluminous breasts, little beard, and the thighs and legs of a woman.
There was fat on the pubis, the penis was short and small and incapable
of erection, the testicles of fetal size; he had no venereal desires
whatever, and as regards sex was virtually neuter.
Public-domain text, read in full here on John Shaqi.
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