| Account of the Four-Legged Child, J. Myrtle Corban Nashville, Tennessee Jun 16, 1868 The undersigned, in response to the request of a number of physicians, and the relatives and friends of the unfortunate subject of this investigation, give the following testimony: The infant, J. Myrtle Corban, has four legs and two distinct external female organs of generation, with two external openings of the urethra and two external openings of the double rectum. The external genito-urinary organs are as distinct as if they belonged to two separate human beings. The fces and urine are passed (most generally simultaneously, particularly the urine) from both external urinary and intestinal openings, situated respectively between the left and right pairs of legs. The head and trunk are those of a living, well-developed, healthy, active infant of about five weeks, whilst the lower portion of the body is divided into the members of two distinct individuals, near the junction of the spinal column with the os sacrum. As far as our examination could be prosecuted in the living child, we are led to the belief that the lower portion of the spinal column is divided or cleft, and that there are two pelvic arches supporting the four limbs, which are situated upon the same plane. Photographs of this infant have been made by the advice and under the supervision of one of our number. The reality in this case surpasses expectation, and we are of the opinion that this interesting living monstrosity exceeds in its curious manifestation of the powers of nature in abnormal productions, the celebrated "Siamese Twins." Joseph Jones, M.D., Prof. of Phys. and Path., University of Nashville. Paul F Eve, M.D. Prof. of Surgery, University of Nashville. The Professors further remark: Josephine Myrtle is the third offspring of W.H. and Nancy Corban, aged twenty-five and thirty-four, the wife being the senior by nine years. They are so much alike in appearance, having red hair, blue eyes and very fair complexion, as to produce the impression of their being blood kin, which, however, is not the case. Mrs. Corban is from North Alabama, had borne one child to a former husband, the child having dark coloring, and resembling mostly the father, who had black hair and eyes. Her three children are all girls; the one already alluded to , now six years old, another three, and this infant monstrosity, now to be more minutely described, born the 12th of May, 1868, in Lincoln county, Tennessee, five weeks ago. Mr. Corban is a Georgian, served in the Confederate army through the war, and was severely wounded in the right arm and left hand. The parents are in fair health, though the mother is anmic. She recollects no fright or disturbance during her last pregnancy. The presentation was fortunately the head, which accounts for the preservation of the life of the child. It would be curious to speculate on the trouble which might have been produced had the feet or breach presented, while the result, in all probability, would have proved fatal to the infant, and possibly to the mother. Mrs. Corban says that there was nothing peculiar in the labor or delivery. When three weeks old the child weighed ten pounds. It now nurses healthily, is thriving well, and we saw it urinate simultaneously, between the two paris of labia of the two vaginę, situated about six inches apart. From the crown of the head to the umbilicus the child measures twelve inches, and from this point to the toes of the right and left external feet eleven inches. From the umbilicus up all is natural and well formed; all below this extraordinary and unnatural. An inch below the navel is a mark of an apparent failure for a second one. There are four distinct, pretty well developed, lower extremities. They exist in pairs on both sides of the medium line, which resembles the cleft of an ordinary pair of legs; but here there are no marks whatever of anus or genital organs, and upon pressure we discover no os coccygis or sacrum. The outer legs of boths sides are the most natural of the four (though the foot of the right one is clubbed), but are widely separated by the two supernumerary ones, which are less developed, except at their junction with the body, from which they taper to the feet and toes more diminutive, and which are turned inwards. One toe is bifid on the left extra inward extremity. At birth these extra legs were folded flat upon the abdomen. We are led to believe that there are two uteri as well as two recti, in fact, that the pelvic organs are double. Of course a minute dissection would alone expose the true condition of these parts. Should this infant reach maturity, and the internal generative organs be double, there is nothing to prevent conception on both sides. The first difficulty will, however, be in her walking. The outer, or external, legs may be used for progression; the inner, or inturned, ones probably never. These might be successfully amputated at the knee, or higher up. (The Western Journal of Medicine, Theophilus Parvin, ed., 1868) |