A Case of Atresia of the Vagina and Uterus

note, was half-way to the umbilicus and slightly painful. By combined rectal and abdominal examination, the uterus could not be made out and the abdominal swelling was found to be incorporated with it. Haematometra was diagnosed and she consented _to undergo an operation. A vertical incision was made just below the external urethral meatus and the vagina was found to be well developed. There was no hsematocolpos. The uterus was fixed to the vagina by a few adhesions and there was no evidence of the cervix. The uterus was set free and pulled down by a vulsellum. A small dimple at the position of the os was observed. A trocar was passed into the globular uterus and a large quantity of dark viscid fluid escaped. The vaginal portion of the posterior wall of the uterus was then incised vertically in the middle line, and to secure the permanent patency of the uterine canal, catgut sutures were introduced on each side in such