uterus, and double ovarian supply; in the latter case there was also a
double vulva. Sanger speaks of a supernumerary vagina connecting with
the other vagina by a fistulous opening, and remarks that this was not
a case of patent Gartner's duct.
Cullingworth cites two cases in which there were transverse septa of
the vagina. Stone reports five cases of transverse septa of the vagina.
Three of the patients were young women who had never borne children or
suffered injury. Pregnancy existed in each case. In the first the
septum was about two inches from the introitus, and contained an
opening about 1/2 inch in diameter which admitted the tip of the
finger. The membrane was elastic and thin and showed no signs of
inflammation. Menstruation had always been regular up to the time of
pregnancy. The second was a duplicate of the first, excepting that a
few bands extended from the cervix to the membranous septum. In the
third the lumen of the vagina, about two inches from the introitus, was
distinctly narrowed by a ridge of tissue. There was uterine
displacement and some endocervicitis, but no history of injury or
operation and no tendency to contraction. The two remaining cases
occurred in patients seen by Dr. J. F. Scott. In one the septum was
about 1 3/4 inches from the entrance to the vagina and contained an
orifice large enough to admit a uterine probe. During labor the septum
resisted the advance of the head for several hours, until it was slit
in several directions. In the other, menstruation had always been
irregular, intermissions being followed by a profuse flow of black and
tarry blood, which lasted sometimes for fifteen days and was
accompanied by severe pain. The septum was 1 1/2 inches from the
vaginal orifice and contained an opening which admitted a uterine
sound. It was very dense and tight and fully 1/8 inch in thickness.
Mordie reported a case of congenital deficiency of the rectovaginal
septum which was successfully remedied by operation.
Anomalous Openings of the Vagina.--The vagina occasionally opens
abnormally into the rectum, into the bladder, the urethra, or upon the
abdominal parietes. Rossi reports from a hospital in Turin the case of
a Piedmontese girl in whom there was an enormous tumor corresponding to
the opening of the vaginal orifice; no traces of a vagina could be
found. The tumor was incised and proved to be a living infant. The
husband of the woman said that he had coitus without difficu
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