Report of an autopsy on the bodies of Chang and Eng Bunker, commonly known as the Siamese twinsAllen, Harrison
History
Report of an autopsy on the bodies of Chang and Eng Bunker, commonly known as the Siamese twins
Allen, Harrison
Conjoined twins
E. Subcutaneous fat of surface, E. R., C. L. ]
No other vessels were met with in the band excepting a few insignificant
branches of the hepatic artery, and the terminal twigs of the right
internal mammary of Eng. The former vessels are marked D, D, Fig. 11.
The latter vessel terminated by piercing the diaphragm, and giving
ultimate filaments to the integument of the “front” of the band as shown
in Fig. 12.
[Illustration Figure 12:
Fig. 12. The surface, C. R., E. L., with pouches, hepatic tract, and
peritoneal attachments removed to display the diaphragms.
A. Subcutaneous fat of surface, E. R., C. L.
B, C. Symmetrical muscular fasciculi.
D. Fasciculi of Eng crossing the median line of the band. ]
4. _The diaphragms._—The subject being in the same position as in Fig.
2, the livers were removed, the peritoneal coverings dissected from the
band, and the diaphragms exposed (Fig. 12). The point (A), marked by the
terminal twigs of the right internal mammary of Eng, indicated the
“anterior” of the band. A broad slip of fibres of Chang (B) was seen to
pass across the median line, and to be inserted into the left border of
the ensiform cartilage of Eng (Fig. 17). This arrangement would appear
to correspond to the smaller collection of fibres (C) belonging entirely
to Eng. A second arrangement of fibres was seen above those just
indicated, immediately under the cartilages (D). This appeared to arise
from the border of the cordiform tendon of Eng by two distinct narrow
slips, which crossed the median line to be inserted dispersedly on the
diaphragm of Chang.
[Illustration Figure 13:
Fig. 13. The peritoneal linings of the anterior walls of both
abdominal cavities.
A, A. The summits of the bladders.
B, B. The umbilical ligaments.
C, C. The nodules of fat at the parietal scar.
D, D. The isolated lobules of fat. ]
5. _The ensiform cartilages._—After removing the diaphragms the
cartilages were exposed. They may be described as follows:—
Chang.—The cartilage measured 2-1/2 in. wide, and 8 in. in length along
its axis. The right border was very prominent, and projected 1/2 in.
beyond the limit of the corresponding border in Eng. It was almost in
close contact with the cartilage of the eighth rib; it was very robust,
with upper surface convex, under surface nearly plane. The left lateral
border was 2-1/2 in. in length, right lateral border 11 lines in length.
The former was marked by three tubercles of about equal size. One
situated about 1 in. from the sternal origin; the other about 2 in. from
the same point; the third at its extreme anterior border. None of these
were robust, or presented any of the thickening noticed on the right
side. The middle of these tubercles was on a line with that of the
posterior tubercle. The junction of the ensiform process with the
sternum was not marked by the eminence characterizing the similar point
in Eng.
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