CESAREAN Section for Deformity of the Utero-
vaginal Canal.
BY G. H. BALLERAY, M.D., PATERSON, N. J.
I was called by Dr. Scribner, February 26th. 1901, to see Mrs. G.,
aged 20, married three years. The patient was nearly at full term of
her first pregnancy, and had had slight colicky pains in the abdomen
for a day or two. On examination Dr. Scribner found that the vagina
was only about an inch and a half in depth and terminated in a sort
of cul-du-sac. There was no cervix, and no os uteri could be found.
In the upper part of the vagina a slight depression or dimple could be



254 MEDICAL SOCIETY OF NEW JERSEY.
felt. It was impossible to recognize the presentation through the
very thick partition which intervened between the upper part of the
shallow vagina and the lower segment of the uterus. The patient
seemed a well-developed woman, and there was no evidence of bony
deformity of the pelvis. Foetal movements were felt by the mother,
and the fcetal heart sounds were audible. Dr. Scribner persuaded the
patient, who was very much excited and very obstinate in her determi-
nation not to go to a hospital, to enter my service in the maternity
department of St. Joseph's Hospital. As there was no urgency about
the case, I did not examine the patient again the day after her admis-
sion to the hospital, intending to do so the following day. The fol-
lowing morning, however, while I was engaged in the operating
room, the patient, who was walking about and had greeted me very
cheerfully in the corridor, left the hospital without permission and
returned home.
