arted to pass over a stile, just
opposite to which a goat was lying. The woman wore no underclothing,
and in the ascent her body was partially exposed, and, while in this
enforced attitude, the goat, frightened by her approach, suddenly
started up, and in so doing thrust his horn forcibly into her anus and
about two or three inches up her rectum. The horn then passed through
the bowel and its coverings, just above the hymen, and was then
withdrawn as she flinched and fell back. The resultant wound included
the lower part of the vagina and rectum, the sphincter and, the
fourchet, and perineum. Hemorrhage was profuse, and the wound caused
excruciating pain. The subject fainted on the spot from hemorrhage and
shock. Her modesty forbade her summoning medical aid for three days,
during which time the wound was undergoing most primitive treatment.
After suturing, cicatrization followed without delay.

Trompert mentions a case of rupture of the vagina by the horn of a
bull. There is a case recorded in the Pennsylvania Hospital Reports of
a girl of nineteen who jumped out of a second-story window. On reaching
the ground, her foot turned under her as she fell. The high heel of a
French boot was driven through the perineum one inch from the median
line, midway between the anus and the posterior commissure of the labia
majora. The wound extended into the vagina above the external opening,
in which the heel, now separated from the boot, projected, and whence
it was removed without difficulty. This wound was the only injury
sustained by the fall.

Beckett records a case of impalement in a woman of forty-five who,
while attempting to obtain water from a hogshead, fell with one limb
inside the cistern, striking a projecting stave three inches wide and
1/2 inch thick. The external labia were divided, the left crus of the
clitoris separated, the nymphae lacerated, and the vaginal wall
penetrated to the extent of five inches; the patient recovered by the
fourth week.

Homans reports recovery from extensive wounds acquired by a negress who
fell from a roof, striking astride an upright barrel. There was a
wound of the perineum, and penetration of the posterior wall of the
vagina, with complete separation of the soft parts from the symphysis
pubis, and extrusion of the bladder.

Howe reports a case of impalement with recovery in a girl of fifteen
who slid down a hay-stack, striking a hay-hook which penetrated her
perineum and passed i