Report of an autopsy on the bodies of Chang and Eng Bunker, commonly known as the Siamese twins — John Shaqi
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
Viewing the cartilages as the constituent parts of the band, we found
the border C. L., E. R., the “anterior,” to be longer than C. R., E. L.,
the “posterior.” C. L., E. R. was a convex, nearly even border, C. L.
being larger than E. R., with a gaping interval placed nearer Eng than
Chang. C. R., E. L. was an irregular, uneven border, without interval,
C. R. being smaller than E. L., and placed to the outer side.
VI. Other Structures.
1. _The spleens._—This organ in Eng was 5 in. long, 3-1/3 in. wide. The
dorsum was marked by a large sulcus, extending nearly across the organ,
continuous with the sulcus on the superior border. The hilus was
relatively shorter than that of Chang, beginning above, fully an inch
below its upper border, and terminating within a half inch of its
inferior border.
In Chang it measured 5 in. long, 2-1/3 in. wide. It was sub-elliptical
in form, upper lip somewhat abruptly compressed. The lower border was
obtuse and rounded. The dorsum was smooth, and presented at its
posterior edge a single sulcus placed midway between the tip and the
inferior border. The hilus extended nearly the entire length of the
under surface.
2. _The livers_ (Fig. 16).—In Eng the liver was 9 in. broad. The right
lobe was 7-1/2 in. wide, antero-posteriorly. The fundus of the
gall-bladder was seen on the anterior edge of the organ. The only
noticeable feature on the under surface of the liver, was the lobus
Spigelii. This was large, measuring 2 in. in transverse diameter, and
2-1/3 in. in antero-posterior diameter. It presented a somewhat
increased breadth of neck, which was overlapped by an anterior
prolongation of the lobe, and terminated by a rounded compressed
extremity at the transverse fissure. The quadrilateral lobe was well
developed, 2 in. long in greatest diameter, 10 lines wide.
[Illustration Figure 16:
Fig. 16. The livers.
A. Right lobe of Eng.
B. Left lobe of same.
C. Right lobe of Chang.
D. Left lobe of same.
E. Hepatic tract.
F. Round ligament of Eng.
G. Round ligament of Chang.
H. Accessory suspensory ligament of Eng, with termination of
the right mammary artery.
I. Fundus of gall-bladder of Chang.
J. Fundus of gall-bladder of Eng. ]
In Chang the liver was 8-1/3 in. broad. The right lobe was 5 in. wide,
antero-posteriorly. The appearance of the gall-bladder corresponded to
that seen in Eng. The under surface was normal. The lobus Spigelii
presented a narrower neck than in Eng, the anterior prolongation being
greater. The quadrilateral lobe was less developed than in Eng. Indeed
it was not raised above the under surface of the right lobe, and its
limits were so imperfectly marked that it could not well be measured.
[Illustration Figure 17:
Fig. 17. Kidneys of Eng.
A. Left kidney.
B. Right kidney.
C. Left renal vein.
D. Left supra-renal vein.
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