按键盘上方向键 ← 或 → 可快速上下翻页，按键盘上的 Enter 键可回到本书目录页，按键盘上方向键 ↑ 可回到本页顶部！
————未阅读完？加入书签已便下次继续阅读！
t there was a rectovaginal fistula admitting the little finger。 Hofmokl cites an instance in which a powerful young man； in coitus with a widow of fifty…eight； caused a tear of her fornix； followed by violent hemorrhage。 In another case by the same author； coitus in a sitting posture produced a rupture of the posterior fornix； involving the peritoneum； although the patient lost much blood； she finally recovered。 In a third instance； a young girl； whose lover had violent connection with her while she was in an exaggerated lithotomy position； suffered a large tear of the right vaginal wall。 Hofmokl also describes the case of a young girl with an undeveloped vagina； absence of the uterus and adnexa； who during a forcible and unsuccessful attempt at coitus； had her left labium majus torn from the vaginal wall。 The tear extended into the mons veneris and down to the rectum； and the finger could be introduced into the vaginal wound to the depth of two inches。 The patient recovered in four weeks； but was still anemic from the loss of blood。
Crandall cites instances in which hemorrhage； immediately after coitus of the marriage…night； was so active as to almost cause death。 One of his patients was married three weeks previously； and was rapidly becoming exhausted from a constant flowing which started immediately after her first coitus。 Examination showed this to be a case of active intrauterine hemorrhage excited by coitus soon after the menstrual flow had ceased and while the uterus and ovaries were highly congested。 In another case the patient commenced flooding while at the dinner table in the Metropolitan Hotel in New York； and from the same cause an almost fatal hemorrhage ensued。 Hirst of Philadelphia has remarked that brides have been found on their marital beds completely covered with blood； and that the hemorrhage may have been so profuse as to soak through the bed and fall on the floor。 Lacerations of the urethra from urethral coitus in instances of vaginal atresia or imperforate hymen may also excite serious hemorrhage。
Foreign Bodies in the Vagina。The elasticity of the vagina allows the presence in this passage of the most voluminous foreign bodies。 When we consider the passage of a fetal head through the vagina the ordinary foreign bodies； none of which ever approximate this size； seem quite reasonable。 Goblets； hair…pins； needles； bottles； beer glasses； compasses； bobbins； pessaries； and many other articles have been found in the vagina。 It is quite possible for a phosphatic incrustation to be found about a foreign body tolerated in this location for some time。 Hubbauer speaks of a young girl of nineteen in whose vagina there was a glass fixed by incrustations which held it solidly in place。 It had been there for six months and was only removed with great difficulty。 Holmes cites a peculiar case in which the neck of a bottle was found in the vagina of a woman。 One point of the glass had penetrated the bladder and a calculus had formed on this as well as on the vaginal end。
When a foreign body remains in the vagina for a long time and if it is composed of material other than glass； it becomes influenced by the corrosive action of the vaginal secretion。 For instance； Cloquet removed a foreign body which was incrusted in the vagina； and found the cork pessary which had formed its nucleus completely rotted。 A similar instrument found by Gosselin had remained in the vagina thirty…six years； and was incrustated with calcareous salts。 Metal is always attacked by the vaginal secretions in the most marked manner。 Cloquet mentions that at an autopsy of a woman who had a pewter goblet in her vagina； lead oxid was found in the gangrenous debris。
Long Retention of Pessaries； etc。The length of time during which pessaries may remain in the vagina is sometimes astonishing。 The accompanying illustration shows the phosphatic deposits and incrustations around a pessary after a long sojourn in the vagina。 The specimen is in the Musee Dupoytren。 Pinet mentions a pessary that remained in situ for twenty…five years。 Gerould of Massilon； Ohio； reports a case in which a pessary had been worn by a German woman of eighty…four for more than fifty years。 She had forgotten its existence until reminded of it by irritation some years before death。 It was remarkable that when the pessary was removed it was found to have largely retained its original wax covering。 Hurxthal mentions the removal of a pessary which had been in the pelvis for forty…one years。 Jackson speaks of a glove…pessary remaining in the vagina thirty…five years。 Mackey reports the removal of a glass pessary after fifty…five years' incarceration。
There is an account of a young girl addicted to onanism who died from the presence of a pewter cup in her vagina； it had been there fourteen months。 Shame had led her to conceal her condition for all the period during which she suffered pain in the hypogastrium； and diarrhea。 She had steadily refused examination。 Bazzanella of Innsbruck removed a drinking glass from the vagina by means of a pair of small obstetric forceps。 The glass had been placed there ten years previously by the woman's husband。 Szigethy reports the case of a woman of seventy…five who； some thirty years before； introduced into her vagina a ball of string previously dipped in wax。 The ball was effectual in relieving a prolapsed uterus； and was worn with so little discomfort that she entirely forgot it until it was forced out of place by a violent effort。 The ball was seven inches in circumference； and covered with mucus； but otherwise unchanged。 Breisky is accredited with the report of a case of a woman suffering with dysmenorrhea； in whose vagina was found a cotton reel which had been introduced seven years before。 The woman made a good recovery。 Pearse mentions a woman of thirty…six who had suffered menorrhagia for ten days； and was in a state of great prostration and suffering from strong colicky pains。 On examination he found a silk…bobbin about an inch from the entrance； which the patient had introduced fourteen years before。 She had already had attacks of peritonitis and hemorrhage； and a urethrovaginal fistula was found。 The bobbin itself was black。 This patient had been married twice； and had been cared for by physicians； but the existence of a body 3/4 inch long had never been noticed。 Poulet quotes two curious cases： in one a pregnant woman was examined by a doctor who diagnosticated carcinomatous degeneration of the neck of the uterus。 Capuron； who was consulted relative to the case； did not believe that the state of the woman's health warranted the diagnosis； and on further examination the growth was found to have been a sponge which had previously been introduced by the woman into the vagina。 The other case； reported by Guyon； exemplified another error in diagnosis。 The patient was a woman who suffered from continuous vaginal hemorrhage； and had been given extensive treatment without success。 Finally； when the woman was in extreme exhaustion； an injection of vinegar…water was ordered； the use of which was followed by the expulsion from the vagina of a live leech of a species very abundant in the country。 The hemorrhage immediately ceased and health retu