The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886 — John Shaqi
The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
The external genitalia are well developed. No hymen, nor any remains of
one. I have no reason to doubt her virginity. An inch within the
introitus vaginæ the finger met a narrowing into which only its tip
would pass. Searching to the left another smaller opening was
discovered, the two being separated by a strong membrane. Returning to
the right or larger passage, was able by careful dilatation for ten or
fifteen minutes to insert three-fourths of the length of the index
finger and encounter another narrowing, which being patiently overcome,
the first joint of the finger found more room and examined uterine
cervix and the external os, which is linear antero posteriorly. The neck
projects about half an inch into the vagina. The lips are thin, of
normal density. Withdrawing the finger and finding the smaller opening,
could succeed in penetrating only about an inch. Observed a third,
smallest opening in the left vaginal wall, between the ostium vaginæ and
the second opening described.
[Illustration]
The patient would consent to no interference that could possibly cause
even temporary disability for daily housework and care of an invalid
mother, but agreed to return daily for a few days. After dilating
without anæsthesia fifteen to twenty minutes daily for four days, could
pass two fingers or a Fergusson speculum one and one-eighth inches into
the right passage, and could pass one finger readily, or speculum
seven-eighths of an inch in diameter into the left passage. The septum
between the two passages is placed antero posteriorly. It is about an
eighth of an inch thick, and has the appearance of any other portion of
the vaginal wall. It begins an inch within the introitus, and extends to
the uterus, making a right and left vagina of normal length. The third,
smallest passage, admits a sound and extends upward an inch in the left
lateral vaginal wall and ends in a blind extremity.
The right vagina discloses an uterine os three-eighths inch in length
antero posteriorly, the anterior end of the slit inclined toward the
median line. The sound passes readily a distance of one and
three-eighths inches, entering in a direction upward and inward half
that length, and then turning upward and outward. The sound moves freely
in the cavity, and the lining membrane evidently contains folds.
Secretion of the cervix free.
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