Foucard reports a case of retention of urine in a young girl of nineteen, due to accumulation of the menstrual fluid behind an imperforate hymen. The accumulation of urine in cases of ischuria is sometimes quite excessive. De Vilde speaks of 16 pints being drawn off. Mazoni cites a case in which 15 pounds of urine were retained; and Wilson mentions 16 pounds of urine being drawn off.
Chapman mentions a case in which the liver was displaced by dilatation of the sigmoid flexure. Hirsohsprung, Genersich, Faralli, Walker, and Griffiths all record similar instances, and in all these cases the clinical features were obstinate constipation and marked meteorismus. Imperforate Anus. Cases in which the anus is imperforate or the rectum ends in a blind pouch are occasionally seen.
The inferior maxilla and the frontal bone were both perfect; the ears were well developed and the tongue strong and active; the nostrils were imperforate and there was no roof to the mouth nor floor to the nares. The eyes were curiously free from eyelashes, eyelids, or brows. The cornea threatened to slough.
Perkins Bacon and Co., and issued in 1857-9, are esteemed as great rarities in an imperforate and unused condition. The 4d., 8d., 9d., 1s., and 2s. are the rarest. The 4d., so long ago as 1894, fetched £130 at auction. These stamps are amongst the few great rarities that may be entitled to rank as works of art, and every year they are more sought after and more difficult to get in fine condition.
Then they are carried on an endless chain through a long box filled with steam pipes and emerge at the further end dry and ready to be pressed and perforated. The subject of perforations is also worthy of some brief attention. The first stamps were imperforate, necessitating the use of scissors or other instrument in separating them. This was a manifest inconvenience.
Guerard notes an instance in which the opening barely admitted a hair; yet the patient reached the third month of pregnancy, at which time she induced abortion in a manner that could not be ascertained. Roe gives a case of conception in an imperforate uterus, and Duncan relates the history of a case of pregnancy in an unruptured hymen, characterized by an extraordinary ascent of the uterus.
Cooper describes a woman with an enormous development of the clitoris, an imperforate uterus, and absence of vagina; at first sight of the parts they appeared to be those of a man. In 1859 Hugier succeeded in restoring a vagina to a young girl of twenty who had an hypertrophied clitoris and no signs of a vagina.
There was a soft, imperforate nose, and the elements of the vertebral column could be distinguished beneath the skin; there were no legs; apparently no vascular sounds; there was separate sensation, as the parasite could be pinched without attracting the perfect infant's notice. The mouth of the parasite constantly dribbled saliva, but showed no indication of receiving aliment.
Tweedie saw an Irish girl of twenty-three, with an imperforate os uteri, who had menstruated only scantily since fourteen and not since her marriage. She became pregnant and went to term, and required some operative interference.
The first parts to be spoken of are the pudenda, or privities, and the womb; which parts are shut and enclosed either by nature or against nature; and from hence, such women are called imperforate; as in some women the mouth of their womb continues compressed, or closed up, from the time of their birth until the coming down of their courses, and then, on a sudden, when their terms press forward to purgation, they are molested with great and unusual pains.