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
Eng.—The cartilage differed from that of Chang in being 2-1/3 in. wide,
11 lines in length of axis. The left lateral border was abruptly
deflected downward, and did not present the transverse smooth projection
noticed in Chang. This deflection was almost at right angles to the
dorsal surface, acuminate inferiorly, and presenting a straight surface
toward Chang, and an oblique one toward the ribs. The length of left
lateral border was 1 in. The right lateral border, 1-1/3 in. in length,
presented a smooth sub-rounded edge without tubercles, and terminated in
a free rounded border on a plane a little above that of Chang. On the
whole this border was more robust than that of Chang. On the dorsal
aspect of the process near its base was seen the rounded eminence
described in the account of the external appearances (see page 7).
A comparison between the two ensiform cartilages shows that in Chang the
anterior border was longer than in the right in Eng. In other
proportions Eng’s was equal if not larger than Chang’s, and was more
robust.
[Illustration Figure 14:
Fig. 14. A section of both ensiform cartilages, C. R., E. L.
A. Chang’s cartilage.
B. Eng’s cartilage.
C. The synchondrosis.
D. The bursa-like sac covering the same.
E. An opening in the sac.
F. Transversalis muscle of Eng.
G. Transversalis muscle of Chang. ]
The union between the cartilages was of the character of a symphysis.
The union was very intimate along the border E. L., C. R., “posterior”
(Fig. 14); the exposure of the junction by a delicate transverse cut
showed a close union between the cartilages, thus constituting this part
of the band a synchondrosis. That this, however, did not characterize
the entire line of apposition was at once seen by turning to the border
E. R., C. L. (“anterior”), where an interval, two lines in width, was
seen between the cartilages, an interval which had been evidently
susceptible of variation during life. This interval extended across
one-fourth the width of the band. The portion of the band between the
parts as above indicated, was occupied by a bursa-like sac (Fig. 14, D),
which was opened by a minute orifice (E) to display its true nature.
This sac was crossed above by a stout band of fibrous tissue (Fig. 15,
A) an inch in width. Beneath, the sac was protected by a less
well-defined band of the same width as the upper ligament, and which
crossed between the two processes, to be lost in the perichondrium.
[Illustration Figure 15:
Fig. 15. Upper surface of ensiform cartilages.
A. The upper ligament uniting the cartilages. ]
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