Report on the surgical considerations in regard to the propriety of an operation for the separation of Eng and Chang Bunker, commonly known as the Siamese twins : deduced from an autopsy made by the commission appointed by the College of Physicians of Philadelphia, February, 1874 / by William H. Pancoast.

  • Pancoast, William Henry, 1834-1897.
Date:
[1875]
Catalogue details

Licence: Public Domain Mark

Credit: Report on the surgical considerations in regard to the propriety of an operation for the separation of Eng and Chang Bunker, commonly known as the Siamese twins : deduced from an autopsy made by the commission appointed by the College of Physicians of Philadelphia, February, 1874 / by William H. Pancoast. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    the two umbilical veins, Urn, Um, in their connection with the livers, L, L. B, B are the respective blad- ders, and on each side of them are I, I, I, I, the in- ternal iliac arteries. The peritonei!ms, colored yellow for distinction, P, P, were found in the median line A B of the band as four pouches or processes, sepa- rating the peritoneal cavity of one body from that of the other. T represents the tract of hepatic structure, which joined the two livers and lay behind the peri- toneum, just under the diaphragm D, colored red. E, E are the ensiform cartilages, joined in the middle line, making an arthrodial joint at J, J. The line re- presenting the lower costal margin of the thorax is shown at R, R. The second diagram (B) shows accurately the ar- rangement of the peritoneums, P, P, livers, L, L, and diaphragms, D, D. The connecting liver band, being behind the peritoneum, is but faintly shown. The relation of the diaphragms, D, D, to the ensiform carti- lages is clear; the arthrodial articulation of these car- tilages is shown, and there is also exhibited the cavity of the articulation at J, J, into which was passed the handle of a scalpel from behind, and which was appa- rently lined by a synovial membrane covering those parts which were not in contact. The arrows represent the direction of the pouches of peritoneum. The upper two, marked by the arrows, and called, from their position in regard to the liver, the hepatic pouches—one from Chang's side, the other from Eng's—are on nearly the same plane running to the middle^of the band. The lower two, running in the same manner, are called in the anatomical de- scription the umbilical pouches of Eng and Chang