had violent connection with her while she was in an
exaggerated lithotomy position, suffered a large tear of the right
vaginal wall. Hofmokl also describes the case of a young girl with an
undeveloped vagina, absence of the uterus and adnexa, who during a
forcible and unsuccessful attempt at coitus, had her left labium majus
torn from the vaginal wall. The tear extended into the mons veneris and
down to the rectum, and the finger could be introduced into the vaginal
wound to the depth of two inches. The patient recovered in four weeks,
but was still anemic from the loss of blood.

Crandall cites instances in which hemorrhage, immediately after coitus
of the marriage-night, was so active as to almost cause death. One of
his patients was married three weeks previously, and was rapidly
becoming exhausted from a constant flowing which started immediately
after her first coitus. Examination showed this to be a case of active
intrauterine hemorrhage excited by coitus soon after the menstrual flow
had ceased and while the uterus and ovaries were highly congested. In
another case the patient commenced flooding while at the dinner table
in the Metropolitan Hotel in New York, and from the same cause an
almost fatal hemorrhage ensued. Hirst of Philadelphia has remarked that
brides have been found on their marital beds completely covered with
blood, and that the hemorrhage may have been so profuse as to soak
through the bed and fall on the floor. Lacerations of the urethra from
urethral coitus in instances of vaginal atresia or imperforate hymen
may also excite serious hemorrhage.

Foreign Bodies in the Vagina.--The elasticity of the vagina allows the
presence in this passage of the most voluminous foreign bodies. When we
consider the passage of a fetal head through the vagina the ordinary
foreign bodies, none of which ever approximate this size, seem quite
reasonable. Goblets, hair-pins, needles, bottles, beer glasses,
compasses, bobbins, pessaries, and many other articles have been found
in the vagina. It is quite possible for a phosphatic incrustation to
be found about a foreign body tolerated in this location for some time.
Hubbauer speaks of a young girl of nineteen in whose vagina there was a
glass fixed by incrustations which held it solidly in place. It had
been there for six months and was only removed with great difficulty.
Holmes cites a peculiar case in which the neck of a bottle was found in
the vagina of a woman. On