3. Lateral hermaphroditism without excess, where there is an ovary on one side and a testicle on the other, has been very frequently observed. In Barkow's case there existed a uterus and tubes, an imperforate vagina passing through a prostate. The external genitals were those of a hypo spadiac male. Of the glands, only one testicle was well developed. In Berthold's case there existed on the right a testicle, an epididymis and a vas deferens opening into a vagina, and on the left side, an ovary, tube, uterus, and a vagina with hymen, opening into the uro-genital sinus.
Hermaphroditism of the Excretory Apparatus.--The following divisions may be made: A. Hermaphroditism with two These instances are very numerous, and we may find the following varieties: a. There are two testicles, but the external genital organs are female. Such was the case with Media Arsona, who was during life considered a woman. At the autopsy two atrophied testicles were found, as also vasa deferentia and vesicula3 seminales. The external genital organs were those of a female.
b. In Girald('s case, there were two labia majora and minors, a vesti bule, urinary meatus, a vagina 3+ inches deep. The testicles and. vasa deferentia were in the inguinal canal.
c. In Steglehner's case, there were testicles, female external genitals, and in the middle segment both male and female excretory organs.
d. The whole apparatus is male, and superadded, in the middle seg ment, are female organs. In Petit's case, there were testicles, with epididymis, vasa deferentia, vesicular seminales, male external genitals, tubes, uterus, and vagina opening into the urethra.
B. Hermaphroditism with two instances are not so numerous: a. The case of Marto Joseph, where the external appearance and per
sonal habits were those of a male, is in point. The external organs were male except that the testicles had not descended. two ovaries, tubes, a uterus and vagina opening into the prostatic portion of the urethra were found: b. The entire sexual apparatus may be female, and there may be superadded male organs.
In the majority of the recorded cases many of the organs were atro phied. " There existed apparent anatomical wealth by the side of physio logical poverty." (Tarnier and Budin.) [ A most singular instance of true hermaphroditism has been recorded by Fowler, of New York, into whose possession had come a cast of the pelvic organs. The individual was aged twenty-seven at the time of his death, which resulted from congestion of the brain during menstruation.
On the cast it was stated: " Was subject to monthly periods, epileptic fits, hysteria, and pains like those of dysmenorrhea. At the autopsy the vagina and male urethra contained a colored fluid like menstrual blood. Was remarkably fine looking and robust, more rotund in limb than is usual in male subjects. The bust and chest were that of a 'male; the pelvis broad; very light beard. His habits and mode of life were like those of other males in his position in society." The cast was made from the organs themselves which came into the possession of Dr. Sayre, of New York. It represents (Fig. 183) the rectum, pubes, scrotum, penis with prepuce and glans, vagina, uterus, ovaries, tubes and testicles. The individual both menstruated and urinated through the penis, the septum between the bladder and vagina having remained patent.—Ed.]