hree hundred days for the gestation of a viable child. (See
Protracted Gestation.)
Voight is accredited with having seen a triple uterus, and there are
several older parallels on record. Thilow mentions a uterus which was
divided into three small portions.
Of the different anomalous positions of the uterus, most of which are
acquired, the only one that will be mentioned is that of complete
prolapse of the uterus. In this instance the organ may hang entirely
out of the body and even forbid locomotion.
Of 19 cases of hernia of the uterus quoted by Debierre 13 have been
observed in the inguinal region, five on the right and seven on the
left side. In the case of Roux in 1891 the hernia existed on both
sides. The uterus has been found twice only in crural hernia and three
times in umbilical hernia. There is one case recorded, according to
Debierre, in which the uterus was one of the constituents of an
obturator hernia. Sometimes its appendages are found with it. Doring,
Ledesma, Rektorzick, and Scazoni have found the uterus in the sac of an
inguinal hernia; Leotaud, Murray, and Hagner in an umbilical hernia.
The accompanying illustration represents a hernia of the gravid womb
through the linea alba.
Absence of the penis is an extremely rare anomaly, although it has been
noted by Schenck, Borellus, Bouteiller, Nelaton, and others. Fortunatus
Fidelis and Revolat describe a newly born child with absence of
external genitals, with spina bifida and umbilical hernia. Nelaton
describes a child of two entirely without a penis, but both testicles
were found in the scrotum; the boy urinated by the rectum. Ashby and
Wright mention complete absence of the penis, the urethra opening at
the margin of the anus outside the external sphincter; the scrotum and
testicles were well developed. Murphy gives the description of a
well-formed infant apparently without a penis; the child passed urine
through an opening in the lower part of the abdomen just above the
ordinary location of the penis; the scrotum was present. Incisions were
made into a small swelling just below the urinary opening in the
abdomen which brought into view the penis, the glans being normal but
the body very small. The treatment consisted of pressing out the glans
daily until the wound healed; the penis receded spontaneously. It is
stated that the organ would doubtless be equal to any requirements
demanded of it. Demarquay quotes a somewhat similar case in an infant
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