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
Turning down the superficial layer, the aponeurosis of the external
oblique muscle was exposed (Fig. 3). A marked contrast was exhibited in
the two sides of the band. In Chang the parts were normal so far as they
were exposed—the characteristic apertures for the escape of small
vessels being abundant and conspicuous. In turning down the superficial
fascia in Eng (Fig. 3, A), it was found to be continuous at its lower
portion with an aponeurotic layer (Fig. 3, B), which extended toward the
median line, where it was continuous with the linea alba of Chang. In
addition to this, a second layer (Fig. 3, C), analogous in position to a
deep layer of the superficial fascia, which was entirely independent of
Chang, extended over nearly the whole of Eng’s division, and was
particularly well defined over the fibres of origin of the external
oblique muscle. This was continuous with the deep layer of the
superficial fascia which passed over the entire side of Eng’s thorax.
Toward the middle of the band this layer gradually lost its distinctive
features, and was firmly incorporated with the tendon of the external
oblique muscle. A number of fibres corresponding to it extended in
inseparable intimacy with this tendon. These were gradually lost as they
approached the linea alba of Chang, and the parts being in position
these fibres were at their lower portion covered in by the aponeurotic
extension of the linea alba already mentioned.
On Chang’s side, as we have seen, the parts comparable to these
accessory layers were absent. There was no line of demarcation between
the tendon of the oblique and the aponeurotic attachment of the
pectoralis. The tendon of the external oblique presented a different
appearance from the normal one in a more extensive interlacing of fibres
of the linea alba with the tendon.
The part termed above the linea alba of Chang (Fig. 3, E), has already
been indicated through skin and superficial fascia. As can be seen, this
band of fibres, having its origin from the middle line of the abdomen of
Chang, was found to be a direct continuation of the linea alba. It was
remarkable in not being inserted into the ensiform process of Chang, but
into that of Eng, and in giving off the aponeurotic outshoot B, already
noticed, as well as in having a diffused point of insertion into Eng’s
tissue as in the ensiform cartilage (F). In a word, the linea alba
approaches the surface C. R., E. L. from C. R. below, and is inserted
into E. L. above.
IV. Organs Of Abdomen as observed in position through the Incisions.
Limited incisions being alone permitted, the large vessels of the
abdomen were sought for in the process of embalmment, believing, as we
did, that the procedures of securing them would enable us, by extending
the cuts from below upward, to fairly open the abdomen and examine
thereby the interior of the band.
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