Rupture of the Vaginal Wall with Protrusion of Small Intestine in a Woman 63 years of age; Replacement, Suture, Recovery*

into the Glasgow Royal Infirmary on the 23rd of October, 1906, suffering from a protrusion of intestine through the vulva, of three days' duration.On the 1Sth of October, she was carrying half a ton of coals into the house, when she " heard something give way."On the 19th, she felt out of sorts and took some whisky.That night, in trying to get out of bed, she fell across the back of a chair, astride, and sustained a severe blow on the perineum.She then observed a small quantity of blood coming from the vagina, and, on rising the following morning, became aware of a mass protruding from the vaginal orifice.She tried to press the mass back, but failed.On Monday the 22nd, she called in a doctor-Dr.Kirkland of Airdrie-who advised her removal to hospital.On admission, her temperature was 98°F.; the pulse rate was 96 per minute, and of moderate tension.A mass of bowel was seen protruding from the vagina.It was covered with a fibrinous exudate and the coils were adherent.A whitish, foul-smelling discharge lay in the sulci between the folds of intestine and in the vagina.There were no visible wounds or bruises of the thighs, perineum, or vulva.