ibes an instance of inguinal hernia of the ovary in which
the uterus as well as the Fallopian tube were found in the inguinal
canal. Debierre mentions that Puech has gathered 88 instances of
inguinal hernia of the ovary and 14 of the crural type, and also adds
that Otte cites the only instance in which crural ovarian hernia has
been found on both sides. Such a condition with other associate
malformations of the genitalia might easily be mistaken for an instance
of hermaphroditic testicles.
The Fallopian tubes are rarely absent on either side, although Blasius
reports an instance of deficient oviducts. Blot reports a case of
atrophy, or rather rudimentary state of one of the ovaries, with
absence of the tube on that side, in a woman of forty.
Doran has an instance of multiple Fallopian tubes, and Richard, in
1861, says several varieties are noticed. These tubes are often found
fused or adherent to the ovary or to the uterus; but Fabricius
describes the symphysis of the Fallopian tube with the rectum.
Absence of the uterus is frequently reported. Lieutaud and Richerand
are each said to have dissected female subjects in whom neither the
uterus nor its annexed organs were found. Many authors are accredited
with mentioning instances of defective or deficient uteri, among them
Bosquet, Boyer, Walther, Le Fort, Calori, Pozzi, Munde, and Strauch.
Balade has reported a curious absence of the uterus and vagina in a
girl of eighteen. Azem, Bastien, Bibb, Bovel, Warren, Ward, and many
others report similar instances, and in several cases all the adnexa as
well as the uterus and vagina were absent, and even the kidney and
bladder malformed.
Phillips speaks of two sisters, both married, with congenital absence
of the uterus. In his masterly article on "Heredity," Sedgwick quotes
an instance of total absence of the uterus in three out of five
daughters of the same family; two of the three were twice married.
Double uterus is so frequently reported that an enumeration of the
cases would occupy several pages. Bicorn, bipartite, duplex, and double
uteruses are so called according to the extent of the duplication. The
varieties range all the way from slight increase to two distinct
uteruses, with separate appendages and two vaginae. Meckel, Boehmer,
and Callisen are among the older writers who have observed double
uterus with associate double vagina. Figure 150 represents a transverse
section of a bipartite uterus with a double
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