Dr. AK 🇮🇳@docakx
Vaginal opening was absent in this female, yet she became pregnant.
This female was well aware that she had no vagina. After disappointing attempts at conventional intercourse, she began experimenting with oral sex.
One day, she was rushed to the hospital with a stab injury. Two men were also brought in with knife injuries. It was not entirely clear who had stabbed whom, but all three participants in the altercation were admitted with wounds. She had a stab wound in the upper abdomen and underwent surgery.
Under general anaesthesia, an exploratory incision was made, revealing two holes in the stomach—the result of the single abdominal stab wound passing through the wall. Both defects were repaired. The stomach was noted to be empty at the time of surgery, with no gastric contents seen in the abdominal cavity. Nevertheless, the abdominal cavity was thoroughly cleaned.
The patient recovered rapidly with routine postoperative care and was discharged home after 10 days.
Precisely 278 days (approximately 9 months) later, she was readmitted to the hospital with abdominal pain. Abdominal examination revealed a term pregnancy with cephalic fetal presentation. The uterus was contracting regularly, and the fetal heart was audible. Inspection of the vulva showed no vagina—only a shallow skin dimple below the urethra.
An emergency caesarean section was performed and a live male infant weighing 2800 g was delivered with no major abnormalities.
The pieces came together when she was interviewed by a sympathetic nurse. Just before the stabbing incident, she had been practising fellatio with her new boyfriend when they were caught by her former lover. A knife fight ensued, during which she sustained the abdominal stab injury. Later she was operated on at the hospital. Somewhere during this sequence of events, semen entered the abdominal cavity and reached the fallopian tube, resulting in fertilization and subsequent pregnancy. After being discharged following treatment for the stab injury, she became worried about her increasing abdominal size but only doubted that she could be pregnant.
The postoperative period after the caesarean section was uneventful. However, eight months later—while she was still breastfeeding—she developed abdominal pain again. This time it was due to menstrual blood pooling inside her uterus (cryptomenorrhoea). An artificial vaginal canal was surgically constructed to allow the blood to drain, but it later became blocked. Due to crippling pain when her child was 2.5 years old, she eventually underwent a hysterectomy. By that time, the son bore a strong resemblance to the legal father.
From the case report-
Verkuyl DAA. Oral conception: impregnation via the proximal gastrointestinal tract in a patient with an aplastic distal vagina. BJOG: An International Journal of Obstetrics & Gynaecology. 1988;95(4):933–934.