Houghton speaks of a girl of twenty-five into whose vagina it was
impossible to pass the tip of the first finger on account of the
dense cicatricial membrane in the orifice, but who gave birth,
with comparative ease, to a child at full term, the only
interference necessary being a few slight incisions to permit the
passage of the head. 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. He
incised at the point of usual location of the os, and one of his
incisions was followed by the flow of liquor amnii, and the head
fell upon the artificial opening, the diameter of which proved to
be one and a half or two inches; the birth then progressed
promptly, the child being born alive.
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.
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