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The patient : A 15 - yr - old girl in Lesotho , Southern Africa
The symptoms : In 1988 , a teen visited the infirmary with intermittent and acute abdominal pain . An examination divulge that she was about nine month pregnant — but she said she had been incognizant of the maternity . Her womb was contracting at regular intervals and the foetus was oriented with its header downwardly in the birth canal .
A teen didn’t realize she was pregnant before going to the hostpital with abdominal pain.
What happened next : When emergency way Doctor of the Church inspect the patient role ’s vulva , they found no vaginal initiative . Instead , there was a skin - brood shallow indentation between her labia minora — the vulva ’s inside lips — and below her urethral meatus , the external opening of the urethra that transports urine out of the bladder . This rare condition , in which the vaginal curtain raising is absent or closed , is make love asdistal vaginal atresiaand affects anestimated 1 in 4,000 to 10,000newborn female .
Doctors gave the patient spinal anaesthesia and performed an hand brake cesarean discussion section ( degree centigrade - segment ) , delivering a intelligent baby boy weighing 6.2 pounds ( 2.8 kilogram ) , concord to areport of the case .
Examination of the patient after her delivery revealed that her womb end in a vagina that was just 0.8 inches ( 2 centimetre ) deep , agree to the case report card . ( Vaginal depth is typically 2 to 4 inches ( 5 to 10 cm ) but can extend up to 8 inches ( 20 cm ) during arousal . )
The diagnosing : The patient had previously visited the same pinch room 278 days , or just over nine months , sooner , after a valet stabbed her in the upper abdomen . The tongue had penetrated her abdominal paries and created two injury in her venter . At the time , doctor treated her hurt and discharged her from the infirmary .
calendar month subsequently , as the affected role was recovering from the caesarean performance , she tell a nurse that the attack occur when an ex - lover had determine her go down on her novel swain . The Doctor reason that , after the patient was stabbed , spermatozoan she had swallowed migrate to her procreative organ through the tears in her digestive tract , thus causing her pregnancy .
The treatment : The patient role ’s recovery was uneventful , andshe and her boyfriend ultimately take the circumstances of the child ’s conception , the report added . A few years later , the boy visibly resemble his father — the man she had been fellating at the prison term of the approach — a fact that " leave out an even more marvellous invention , " the emergency room MD compose .
What make the case unique : Fertilization typically occurs after spermatozoan is bring in to the female generative system through the vagina . environment that are highly acidic , such as the GI pamphlet , are inhospitable to sperm . However , spittle is low in acid than other parts of the digestive system .
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sour is measure out by the pH scale , which unravel from 0 to 14 — the lower the act , the more acid is present . The belly is acid , with apH of 1.5 to 3.5 . Saliva typically has apH of 6.7 , on ordinary , which is close to neutral . This could explicate why the sperm cell in this case was still feasible after being swallowed , allot to the report .
What ’s more , when people are malnourished , the digestive system becomes less acidic and more alkaline , the MD wrote . The patient was underfed at the time of the knifing , which may have provided a more hospitable environs for the swallow spermatozoan as it move from her digestive system and transcend through the knife wounds in her stomach to enter her uterus , the physician theorize in the report .
This article is for informational aim only and is not intend to offer aesculapian advice .
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