Journal : The British gynaecological journal ; vol. iv.
London : John Bale & Sons, 1888.
Description : 205-212 p., [2 l] pl. ; ill.: 2 phots. ; 22cm.
Photographs : two portraits of the clinical subject, collotypes on printed leaves.
Photographer : Dr. Ernest Muirhead Little (1854-1935).
Subject : Genitalia — Pseudohermaphroditism.
I pass round some photographs of the patient taken by Mr. Muirhead Little.
The accompanying photographs shew the appearances of the genital organs. In Figure I it is seen that the external genitals consist of a penis with no scrotum, no testicles, and no vulvar opening into a vagina.
In Figure 2 the penis, which is sessile like the clitoris, is raised in order to display the opening of the urethra running along the under surface. In passing the catheter into the bladder along this furrow, I had to make the usual tour de maitre to enter the male bladder. On examination by the rectum I could detect no uterus, ovaries, or testicles.* The patient has never menstruated, nor has she shown any symptoms of menstruation. The breasts were absolutely of the masculine type.—Page 206.
Exhibition of a "living specimen of a hermaphrodite," followed by a discussion. Dr. Barnes also referenced another case of hermaphroditism that he had reported in the third edition of his book, A manual of midwifery for midwives (v.: Barnes, page 165 »»). The photographs can be reliably attributed to Dr. Ernest Muirhead Little (1854-1935) who was a surgeon at the National Orthopedic Hospital at the time. Dr. Little received his medical training at St. George's Hospital where Fancourt Barnes's father was an obstetric surgeon on the staff.