who possessed two
uteruses, one communicating with the vagina, the other with the rectum.
She had permitted rectal copulation and had become impregnated in this
manner. Louis, the celebrated French surgeon, created a furore by a
pamphlet entitled "De partium externarum generationi inservientium in
mulieribus naturali vitiosa et morbosa dispositione, etc.," for which
he was punished by the Sorbonne, but absolved by the Pope. He described
a young lady who had no vaginal opening, but who regularly menstruated
by the rectum. She allowed her lover to have connection with her in the
only possible way, by the rectum, which, however, sufficed for
impregnation, and at term she bore by the rectum a well-formed child.
Hunter speaks of a case of pregnancy in a woman with a double vagina,
who was delivered at the seventh month by the rectum. Mekeln and
Andrews give instances of parturition through the anus. Morisani
describes a case of extrauterine pregnancy with tubal rupture and
discharge into the culdesac, in which there was delivery by the rectum.
After an attack of severe abdominal pain, followed by hemorrhage, the
woman experienced an urgent desire to empty the rectum. The fetal
movements ceased, and a recurrence of these symptoms led the patient to
go to stool, at which she passed blood and a seromucoid fluid. She
attempted manually to remove the offending substances from the rectum,
and in consequence grasped the leg of a fetus. She was removed to a
hospital, where a fetus nine inches long was removed from the rectum.
The rectal opening gradually cicatrized, the sac became obliterated,
and the woman left the hospital well.

Birth Through Perineal Perforation.--Occasionally there is perineal
perforation during labor, with birth of the child through the opening.
Brown mentions a case of rupture of the perineum with birth of a child
between the vaginal opening and the anus. Cassidy reports a case of
child-birth through the perineum. A successful operation was performed
fifteen days after the accident. Dupuytren speaks of the passage of an
infant through a central opening of the perineum. Capuron, Gravis, and
Lebrun all report accouchement through a perineal perforation, without
alteration in the sphincter ani or the fourchet. In his "Diseases of
Women" Simpson speaks of a fistula left by the passage of an infant
through the perineum. Wilson, Toloshinoff, Stolz, Argles, Demarquay,
Harley, Hernu, Martyn, Lamb, Morere, Pollock,