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
In front (E. R., C. L.) the superficies could not be well examined owing
to the restrictions imposed by the families. A view of it from within
can be obtained in Figs. 8, 9, _q. v._ Permission having been granted to
make an incision “behind,” at C. R., E. L., a modified letter-H incision
was employed, thus—
a \ / e
b >—————< d
c / \ f
Turning the skin flaps here indicated upwards and downwards, and the
lateral triangles outwards, there was found beneath, a layer of
superficial fatty connective tissue, with a well-defined layer of fat on
either side, but with an intermediate portion which was free from fat,
and of greater thickness.
The skin could with some little trouble be raised over the _dorsal or
upper surface_, showing here entire absence of fat. A very delicate
artery was found running across the middle, from Eng to Chang.
The lower portion of the surface C. R., E. L. was inseparably connected
with the umbilicus. It was also united to the superficial fascia on C.
L., about 1-1/2 inches from the umbilicus; this did not have any
connection with the deeper parts. The process of fibrous tissue which
had been felt through the skin was conspicuous on this surface of the
band, and was covered by a delicate non-fatty layer of connective
tissue. Towards the lower part of the surface were seen several
diverging lines of fibrous tissue, which were lost within the integument
about the umbilical scar, at the lower surface of the band. They were
exceedingly thin, and at one point lay directly over the posterior and
inferior wall of the umbilical pouch of Chang.
[Illustration Figure 3:
Fig. 3. The surface, C. R., E. L., exposed by removal of skin and
superficial fascia to display the tendons of the external
oblique muscles and adjacent parts.
A. The superficial fascia—lost over the position of Chang’s
umbilical pouch.
B, C. Supplemental layers of fibrous tissue of Eng not seen in
Chang; B is a continuation toward Eng of aponeurotic
fibres having a source from the linea alba of Chang; C is
independent of the former, and is continuous with the deep
pectoral fascia.
D. The interlacing of fibres on tendon of external oblique
muscle of Chang.
E. The linea alba of Chang, beginning at C. R.
F. Its continuation to E. L., and insertion upon the ensiform
cartilage. ]
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