Some observations regarding the diagnosis and treatment of atresia vaginae.

  • Webster, John Clarence, 1863-1950.
Date:
[1895]
Catalogue details

Licence: Public Domain Mark

Credit: Some observations regarding the diagnosis and treatment of atresia vaginae. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    SOME OBSERVATIONS REGARDING THE DIAGNOSIS AND TREATMENT OF ATRESIA VAGINA. Case I.—A. S., unmarried, aged 18, a native of Iceland, was admitted to Ward 24, E,. E. I., on July 24tb, 1891, complaining of a swelling in the abdomen with pains which had troubled her for nearly three years. No facts about the previous history were ascertained, owing to the difficulty of holding communication with her. Through the Danish consul it was found out that the swelling had gradually increased and that the pains were felt only at intervals of three or four weeks. State on admission.—The patient was a well-nourished, ro- bust-looking girl with a pleasant expression. The mammae were large and pendulous like those of a married woman. Around the nipple was a large, dark areola. No secretion could be expressed from the breasts. The abdomen presented a prominence most marked toward the left of the navel and extending from a point slightly above it downward and inward toward the pelvis. On palpation it was of firm consistence, scarcely movable, and not painful to touch. The percussion note was dull over it; on auscultation a faint bruit was heard. The external genitals were fairly well developed. The hair of the mons veneris, instead of being arranged, as is normally the case in women, with the upper limit transverse, tailed up toward the navel as in males. There was no ostium vaginae, the hymen being quite imper- forate and having a thick, fieshy appearance. On recto-vesical examination there appeared to be but a thin partition in place of the vagina. Above this was felt on bimanual examination the uterus, somewhat enlarged and only slightly movable; ex- tending outward from it on the left side was a swelling the size