n London the pelvic organs from a case of complex or
vertical hermaphroditism occurring in a child of nine months who died
from the effects of an operation for the radical cure of a right
inguinal hernia. The external organs were those of a male with
undescended testes. The bladder was normal and its neck was surrounded
by a prostate gland. Projecting backward were a vagina, uterus, and
broad ligaments, round ligaments, and Fallopian tubes, with the testes
in the position of the ovaries. There were no seminal vesicles. The
child died eleven days after the operation. The family history states
that the mother had had 14 children and eight miscarriages. Seven of
the children were dead and showed no abnormalities. The fifth and sixth
children were boys and had the same sexual arrangement.

Barnes, Chalmers, Sippel, and Litten describe cases of spurious
hermaphroditism due to elongation of the clitoris. In Litten's case a
the clitoris was 3 1/2 inches long, and there was hydrocele of the
processus vaginalis on both sides, making tumors in the labium on one
side and the inguinal canal on the other, which had been diagnosed as
testicles and again as ovaries. There was associate cystic ovarian
disease. Plate 4 is taken from a case of false external bilateral
hermaphroditism. Phillips mentions four cases of spurious
hermaphroditism in one family, and recently Pozzi tells of a family of
nine individuals in whom this anomaly was observed. The first was alive
and had four children; the second was christened a female but was
probably a male; the third, fourth, and fifth were normal but died
young; the sixth daughter was choreic and feeble-minded, aged
twenty-nine, and had one illegitimate child; the seventh, a boy, was
healthy and married; the eighth was christened a female, but when
seventeen was declared by the Faculty to be a male; the ninth was
christened a female, but at eighteen the genitals were found to be
those of a male, though the mammae were well developed.

O'Neill speaks of a case in which the clitoris was five inches long and
one inch thick, having a groove in its inferior surface reaching down
to an oblique opening in the perineum. The scrotum contained two hard
bodies thought to be testicles, and the general appearance was that of
hypospadias. Postmortem a complete set of female genitalia was found,
although the ovaries were very small. The right round ligament was
exceedingly thick and reached down to the bottom