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
2. _The viscera._—In Eng the omentum was gathered up toward the
transverse colon. It was abundantly furnished with fat.[3] The
transverse colon extended across the abdomen, beginning on the right
side on a level with the eleventh rib. It was contracted and contained a
little flatus. The rest of the exposed region was occupied by coils of
small intestine, yielding a mesentery very rich in fat. The stomach was
not visible. By removing the small intestine, and bringing down the
transverse colon and large intestine, the pyloric extremity of the
stomach was seen. The fundus of stomach, spleen, and left kidney were
not seen. (Fig. 6.)
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Footnote 3:
The presence of a great amount of adipose tissue throughout, in Eng,
was very noticeable as contrasted with the emaciated appearance of the
tissues in Chang.
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[Illustration Figure 6:
Fig. 6. The abdominal organs in Eng—the small intestines removed.
A. Left lobe of liver.
B. Right lobe of liver.
C. Gall-bladder.
D. Suspensory ligament.
E. Lobules of fat in the position of the termination of the
umbilical ligament. ]
_The liver._—The right lobe was alone visible. This extended entirely
across the right hypochondriac and epigastric regions. Its external free
border was not in contact with the ribs. Between it and the external
abdominal wall there was an interval of nearly an inch at its greatest
part, which was crossed by the external lateral ligament. The inferior
border of the lobe rested upon and nearly concealed the pylorus of the
stomach as well as the upper half of right kidney. Corresponding in
position to the upper portion of the right kidney was a well-defined
layer of peritoneum, presenting a sharply defined internal border. Upon
dissecting away the peritoneum from this border it was found to answer
to the inferior vena cava. The lesser omentum occupied its usual
position. The fundus of the gall-bladder was two-thirds of an inch
beyond the anterior border of the lobe, immediately to the outer side of
the caudal lobe. The position of the longitudinal fissure was well off
to the left side of the abdomen, presenting, between the right and left
lobes, a conspicuous cleft which was partially occupied by the base of
the caudal lobe. The round ligament, with its associated suspensory
ligament, had doubtless passed nearly vertically, before the relations
had been disturbed by the incision in the abdominal wall, upwards and
forwards to the anterior abdominal wall at a point lying one inch to the
outer side of the centre of the umbilicus.
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