Report of an autopsy on the bodies of Chang and Eng Bunker, commonly known as the Siamese twins / by Harrison Allen.

  • Allen, Harrison, 1841-1897.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Report of an autopsy on the bodies of Chang and Eng Bunker, commonly known as the Siamese twins / by Harrison Allen. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    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. Corre- sponding in position to the upper portion of the right kidney was a well-defined layer of peritoneum, pre- senting a sharply defined internal border. Upon dis- secting 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 ofi to the left side of the abdomen, presenting, between the right and left lobes, a conspicu- ous cleft which was partially occupied by the base of the caudal lobe. The round ligament, with its asso- ciated suspensory ligament, had doubtless passed nearly vertically, before the relations had been dis- turbed 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. In the subject, as it lay on the table with the flap a, h (Fig. 2), turned to the left, the suspensory liga- ment had the appearance of being much more ob- liquely inclined to the left, and could be made nearly horizontal by a little traction. Lying beneath this