Oral conception

Grant writing makes you crazy and also forces bloggers to stoop to ever lower levels. Hence this from the Discover Magazine blog via Boingboing.

While trawling for gold in the medical case literature they struck it rich with the story of the 15 year old girl with no vagina who got pregnant by giving her boyfriend a blow job (British Journal of Obstetrics and Gynaecology: 1988 Sep;95(9):933-4). Not possible? You be the judge:

Case report:
The patient was a 15-year-old girl employed in a local bar. She was admitted to hospital after a knife fight involving her, a former lover and a new boyfriend. Who stabbed whom was not quite clear but all three participants in the small war were admitted with knife injuries.

The girl had some minor lacerations of the left hand and a single stab-wound in the upper abdomen. Under general anaesthesia, laparotomy was performed through an upper midline abdominal incision to reveal two holes in the stomach. These two wounds had resulted from the single stab-wound through the abdominal wall. The two defects were repaired in two layers. The stomach was noted empty at the time of surgery and no gastric contents were seen in the abdomen. Nevertheless, the abdominal cavity was lavaged with normal saline before closure. The condition of the patient improved rapidly following routine postoperative care and she was discharged home after 10 days
Precisely 278 days later the patient was admitted again to hospital with acute, intermittent abdominal pain. Abdominal examination revealed a term pregnancy with a cephalic fetal presentation. The uterus was contracting regularly and the fetal heart was heard. Inspection of the vulva showed no vagina, only a shallow skin dimple was present below the external urethral meatus and between the labia minora. An emergency lower segment caesarean section was performed under spinal anaesthesia and a live male infant weighing 2800 g was born. (full text of case report on Discover blog)

The story, elicited by puzzled and highly curious medical attendants at the baby's birth, was that the knife fight was occasioned when her old boy friend caught her giving her new boy friend oral gratification and that in the ensuing surgery sperm in her stomach (which was empty and conjectured to have higher than usual pH because she was in a fasting state) gained access to her reproductive organs through the lacerated and then lavaged gastrointestinal tract.

What's next? You can get pregnant from toilet seats?

More like this

Did they name the kid BJ?

Yet another compelling reason never to swallow...as if the taste and texture weren't enough. :)

By realinterrobang (not verified) on 02 Feb 2010 #permalink

Oh boy! 7th grade teachers everywhere are having to rewrite their sexual health chapter exams.

Does the National Enquirer know about this?

Reminds me of the anecdotal (unsubstantiated) story of the young female spectator of a civil war battle who was impregnated by a mini-ball that had passed through the testicles of one of the combatants. After it's first fleshly encounter, it lodged in the abdomen of the young woman carrying at least one lucky sperm..,

Same end game. Nine months later, a baby was delivered without the usual male female relations being involved.

@Revere: I don't see why you chose to post this story here. These kinds of stories are for the sensationalist media. There is no scientific knowledge to be gained from what you just posted and it is just cruel derision. A very brutal and unfortunate event leading to unexpected consequences for the victim is not funny.

The girl must already have enough problems of her own and shouldn't need to worry about the story spreading like wildfire in medical publications and on the net. Of course, it already spread, since the assholes at Discover Magazine had to publish it -- but I don't see why you had to contribute to this.

Your final line -- "What's next? You can get pregnant from toilet seats?" -- is the kind of degrading comment that I expect from a vicious journalist trying to make the front page of the paper, not from a respected doctor and blogger. I don't mind when you make fun of people who deserve to be made fun of, but clearly this wasn't the case here.

Obviously, someone else had to do worse. Locasta is wondering whether or not the National Enquirer -- an extremely sensationalist paper mostly about retarded celebrities -- should also know about this.

Alex: This former 15 year old is now at least 37 and her "baby" is able to drink and drive and I don't think either are identifiable. I posted it because, truth to tell, I thought it was fascinating. The series of events are so improbable that one could never imagine it really happening. It is something to remember when doing risk evaluations where events are said to be "absolutely impossible." As for the final line, I think it's clear it wasn't directed at the 15 year old but at things we always say which are almost always true but not necessarily always true. Anyway, blogging is often wearying and sometimes we do things like this. Occasionally I regret it but this one doesn't cause any pangs of conscience.


It was published in 1988. I had the same reaction as Revere did to it: "that's fascinating! If that can happen imagine some of the other potential methods?"

You can also imagine the reaction a practising physician might have to a teenage pregnancy when they claim they've never had sex. They must be lying. The improbability of this case makes it fascinating.

By antipodean (not verified) on 02 Feb 2010 #permalink

Yeah, seen like that it makes sense. I guess I got a little carried away. It's just that usually when I see things like this in the news, it's invasion of privacy. When I read the post for the first time, it seemed like you were making fun of her in a subliminal way with the last sentence. My bad.

That said, I do think that stories like this one should not reach the National Inquirer, as Locasta proposed. If this gets in their hands, I'm pretty sure my criticisms above would be very valid for whatever article they write on the story.

Alex: No problem. I've made an ass of myself here on other occasions and I'm not immune to doing it so I take criticisms seriously. This time I feel OK about it.

@Alex in #8.

You obviously didn't take the trouble to read the whole story. This was featured in 'NCBI ROFL', as in, it is actually published in a peer reviewed medical journal. You can look it up in pubmed. That makes the story not so sensasionalist and all the more fascinating.

But maybe we should remember what David Hume said about miracles. You have to balance two probabilities when a man reports that a miracle has occurred: that he is mistaken (or misreporting) or that a miracle has occured. Whichever is the more probable has the presumption of truth.

By Ed Whitney (not verified) on 02 Feb 2010 #permalink

How long before something like this happens on an episode of House?

@Revere: Purely for fun, can you give links of other posts where you made an ass out of yourself?

@Whitney: Considering the unlucky sequence of events, I think that Murphy's Law is better than Hume's view of miracles.

Clearly some people can't tell the difference between a uvula and a vulva...

Alex: One was so bad I deleted it (a swine flu parody that was frankly sexist). I'm sure there are others. I am not very politically correct; age related in part, character related mostly.

What I draw from this is "Damn, his boys could swim!"

You just know the father bragged the hell out of this. "I'm so potent I made a woman pregnant with a blowjob."

Thanks for sharing this revere. Over the years I've learned not to immediately dismiss patient stories that seem just impossible. The longer I'm alive the more I learn. The only thing I'm left wondering is - how does a 15-year-old legally work in a bar?

By Benefit of the doubt (not verified) on 03 Feb 2010 #permalink

@Revere: I'm not politically correct either but it depends who gets laughed at and whether they deserve it or not.

As a lad, from the time of the requisite birds 'n' bees chalk talk by my conservative Catholic father, I began to question the notion of the virgin birth. "Say what?!?", I said. Finally, a rational explanation! The knife fight among Mary, Joseph and his former squeeze, Martha, is well documented in the Book of Prolapsus (just one more tome suppressed by the Church fathers). Another piece of canonical mythology bites the dust! Now, if we could only ferret out who catered the loaves and fishes event.

Reminds me of that old saying "there's something you don't see every day... two monkies having a knife fight!" Wow this is even more bizarre!