e. Steghleners has described at great length the case of an infant that survived only for half an hour after birth, and upon whose body he found perfect external male organs (fig. 301, a b), and internally two small elon gated testicles (c c), with their epididymes (g g), the convolutions of their vasa defcrentia (b b) distinctly marked. Between the rectum and bladder there was placed a very large pear shaped bag or pouch (f ), with firm, eoria 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 verumnntanum, 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 defcrentia,) arose, and after a somewhat flexuous course reached the testicle (c c) lying in the superior part of the iliac fossre. 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 vesieulre seminales. The canal of the urethra was obliterated for a short distance towards the fossa navieularis, and the urinary bladder (j) and uterus (i t) were ex tremely distended, and the left kidney (in) was vesicular.
Mayer, in the work already referred to,* has described and delineated the following five cases of the prsent species of hermaphroditic malformation in the human subject, all of which lie had himself met with and dissected. In a flatus of the fourth month, and affected with omphalocele and extroversion of the urinary bladder,he found male testicles (fig. 302, and became thread-like, and disappeared near the corresponding cornu of the uterus. A ru diment only of the left male vesieula 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 vesieuhe 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 cornun, the right longer and ineurvated, the left shorter and saeciform. 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 caset 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, (fig. 303, a, a) as was proved a a) with their epididymes (b b), and a two horned uterus (c) terminating in a vagina (d), that opened into the posterior part of the uri nary bladder (e). From the left testicle a con torted vas deferens(f)arose,and ran down to the vagina; the right vas deferens (g) was shorter, not only by their position, but by their form, coverings, connections, and internal structure, (" theirsubstance," 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 defcrens (c c), which was furnished with a corresponding multilocular vesieula scminalis (d d). Of the internal fe
male sexual organs there were found a perfectly developed uterus (e e), with its broad (a n) and round (o o) ligaments naturally formed and placed, and provided with two Fallopian tubes (ff) that followed the course of the testicles through the inguinal canals, and a va gina (g) which opened into the urethra (h) near its external orifice. The ejaculatory duets of the male vesiculm seminales opened into this vagina at 1 and m. The internal surface of the vagina was already beginning to present the appearance of its usual rugte. The cavity of the uterus was triangular, and exhibited on the internal part of the cervix its characteristic plicated or arboreseent structure. The Fallo pian tubes were, at their uterine orifices, of a large caliber ; their cavity afterwards became suddenly contracted, and then again dilated, and terminated at their ulterior extremities, where they lay in contact with the testicles at the external inguinal rings, in blind sacs (i i), without any very distinct appearance of fim brim. The external genital parts in this very interesting case were of a doubtful nature, being referable either to those of a hypospadic male, or of a female with a large clitoris, but without nymphet, the meatus urinarius being in its normal situation, but leading behind to the cavities of both the urinary bladder and uterus. The circle of the pelvic bones was large.
i. The two other instances described by Mayer occurred in adult subjects, and the mal formation in both of them differed from that found in the cases just now cited in this, that there was only one testicle present along with the imperfect uterus.
The subject of one of these eases• was a person who died at the age of eighteen, and whose external sexual organs were those of a hypospadie male, with a narrow perinwal canal or fissure. On dissection this perina-al canal was found to communicate anteriorly with the urethra, and posteriorly with a vagina of two inches and nine lines in length, and five or six lines in caliber. The anterior and posterior column of raga belonging to the vagina was only slightly marked. Its canal led to a large dilated uterus, the superior part of which was unfbrtunately cut away with some dis eased viscera before the genital organs were examined ; but, from the portion left, this organ seemed to resemble the uterus of quad rupeds in its oblong form, and in the thinness of its walls, which were composed of a caver nous fibro-vascular texture, and full of lacuna. The usual arboreseent appearance of the inter nal surfitee of the os uteri was very perfectly marked. Besides these female organs, there was a well-formed male prostate gland at the neck of the bladder ; and behind the abdomi nal ring of the right side, a small roundish body, similar in form and texture to the testi cle, and having the cremaster muscle adhering to its membranous involucrum. There were no traces of any similar organ on the left side.