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November 29, 1924


Author Affiliations

Winnetka, Ill. Assistant Surgeon, St. Luke's Hospital, Chicago; Junior Surgeon, Evanston Hospital, Evanston, Ill.; Assistant in Surgery, University of Illinois Medical School

JAMA. 1924;83(22):1767. doi:10.1001/jama.1924.26610220002014d

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S. S., a high school student, aged 17, was first brought to me for a fracture of the clavicle. In the course of treatment for this injury, the mother informed me that the child had never menstruated, and requested that I investigate the cause of this trouble and suggest treatment.

Examination showed the hymen to be perforate and the vagina of normal size, but no uterus could be palpated. This finding was confirmed by Dr. H. O. Jones, who saw the patient in consultation. The external genitalia were somewhat smaller than normal, and the growth of hair was perhaps less than usual. The patient was well developed; the shoulders were somewhat angular, but the breasts were very large and well developed. The patient had a quiet voice, and gave the impression of a most refined and retiring girl.

The mother told me that when the child was less than 2

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