During this process the patient received no medical treatment, and frequently no assistance in dressing the opening.

She recovered, but had an artificial anus all her life.

Sarah McKinna was married at sixteen and menstruated for the first time a month thereafter.

Ten months after marriage she showed signs of pregnancy and was delivered at full term of a living child; the second child was born ten months after the first, and the second month after the second birth she again showed signs of pregnancy.

At the close of nine months these symptoms, with the exception of the suppression of menses, subsided, and in this state she continued for six years.