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Ileal Prolapse Through Ruptured Vagin: Complication of Manchester Operation

1963; BMJ; Volume: 2; Issue: 5351 Linguagem: Inglês

10.1136/bmj.2.5351.223

0959-8138

R. F. Heys,

Esophageal and GI Pathology

It is clear that he had nothing to gain, and perhaps much to lose, by our paying more than passing attention to this aspect of his case.So far as is known, he was fairly well adjusted to the male sex, but that is not to say that he may not have suffered acutely throughout his life by possessing such a deformity.A genital abnormality of this nature FIG.3.-Section of the ovarian part of the gland showing an old corpus albicans.( x 75.)should nowadays call for full investigation within the first year of life ; once such investigation is complete, a decision may be made concerning the sex in which it is better to bring the patient up and appropriate plastic surgical procedures can be planned (Wilkins, 1 960; Gordon and Dewhurst, 1962).Summary The case is described-of a 40-year-old hermaphrodite whose social sex was male.The external genitalia showed a moderate-sized penis, a perineal urethra, and a rudimen- tary vagina; within the sac of a right inguinal hernia were a single ovotestis, a uterus, and a Fallopian tube.Chromo- some analysis showed him to have 46 chromosomes with an XX arrangement of sex chromosomes.We wish to record our grateful thanks to Mr. Francis Masina, under whose care the patient was admitted and who performed the operation, for permission to study and to report this case.