He anesthetized the patient and delivered the child with forceps, and without perineal rupture.

There was little hemorrhage, and the placenta was removed with slight difficulty.

Five months later, Payne found an unaltered condition of the perineum and vicinity; there was absence of the vaginal orifice, and, on introducing the finger along the anterior wall of the rectum, a fistula was found, communicating with the vagina; above this point the arrangement and the situation of the parts were normal.

The woman had given birth to three still-born children, and always menstruated easily.

Coitus always seemed satisfactory, and no suspicion existed in the patient's mind, and had never been suggested to her, of her abnormality.
Harrison saw a fetus delivered by the anus after rupture of the uterus; the membranes came away by the same route.