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. Left spermatic vein.
F. Descending vena cava not distended with clot.
G. Right renal vein.
H. Aorta distended with plaster.
I. Primitive iliac arteries. ]
3. _The kidneys._—In Eng, the body lying on the table E. R., C. L., the
left kidney (Fig. 17, A) was 4 in. long, 1-1/2 wide at its hilus, and of
the usual kidney shape. It lacked 1/2 in. of reaching the crest of the
ilium. The renal vein (Fig. 17, C) of the same side measured 3 in. in
length, and was decidedly oblique in position, its termination in the
cava being below the level of the lower end of the kidney.
The right kidney (Fig. 17, B) corresponded in position to the left
kidney of Chang, that is to say, it was in the shallower portion of the
abdomen, and in contact with the abdominal wall. It measured 4 in. in
length, and 2-1/4 in. in width. Its inferior border lacked 2 in. of
reaching the superior crest of the ilium. The renal vein ascended a
little upward to enter the cava a little below the level of the upper
end of the kidney.
In Chang, the body lying in such a way that the great trochanter of the
right side rested on the table, the left trochanter being raised three
inches from the same plane, an obliquity was given to the trunk, and
rendered the position of the abdominal organs somewhat anomalous.
The left kidney (Fig. 18, A) lay with its lower half clearly within the
iliac fossa, its inferior border answering to a point an inch and a half
below the termination of the aorta. The organ lay, at its inner and
inferior portion, upon the left primitive iliac vein; it measured 3-3/4
in. in length, and 2-7/12 in. in width at its widest part. It was larger
below, where it retained the usual appearance, but was somewhat abruptly
pointed above, and was marked by the characteristic notch on its inner
side. The renal vein (Fig. 18, C) was very obliquely situated, indeed
was almost parallel with the cava, and was 3-1/2 in. long. The
termination of the renal vein answered to a line running across the
abdomen lying fully 1 in. above the upper end of the left kidney.
[Illustration Figure 18:
Fig. 18. Kidneys of Chang.
A. Left kidney.
B. Right kidney.
C. Left renal vein.
D. Right renal vein.
E. Left spermatic vein.
F. Aorta filled with plaster.
G. Primitive iliac veins.
H. Descending cava distended with clot.
I. Left supra-renal vein. ]
The right kidney (Fig. 18, B) was normally situated. It measured 4 in.
in length, and 1-1/2 in. in width at its centre, and presented the usual
reniform appearance. Its inferior edge just reached an eminence
answering to the superior crest of the ilium.
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