Tag Archives: birth

Myrtle The Four-Legged Girl

Mrs. Josephine M. Bicknell died only one week before her sixtieth birthday; she was buried in Cleburne, Texas, at the beginning of May, 1928.

Once the coffin was lowered into the ground,her husband James C. Bicknell stood watching as the grave was filled with a thick layer of cement; he waited for an hour, maybe two, until the cement dried completely. Eventually James and the other relatives could head back home, relieved: nobody would be able to steal Mrs. Bicknell’s body – not the doctors, nor the other collectors who had tried to obtain it.

It is strange to think that a lifeless body could be tempting for so many people.
But the lady who was resting under the cement had been famous across the United States, many years before, under her maiden name: Josephine Myrtle Corbin, the Four-Legged Girl from Texas.

Myrtle was born in 1868 in Lincoln County, Tennessee, with a rare fetal anomaly called dipygus: her body was perfectly formed from her head down to her navel, below which it divided into two pelvises, and four lower limbs.

Her two inner legs, although capable of movement, were rudimentary, and at birth they were found laying flat on the belly. They resembled those of a parasitic twin, but in reality there was no twin: during fetal development, her pervis had split along the median axis (in each pair of legs, one was atrophic).

 Medical reports of the time stated that

between each pair of legs there is a complete, distinct set of genital organs, both external and internal, each supported by a pubic arch. Each set acts independently of the other, except at the menstrual period. There are apparently two sets of bowels, and two ani; both are perfectly independent,– diarrhoea may be present on one side, constipation on the other.

Myrtle joined Barnum Circus at the age of 13. When she appeared on stage, nothing gave away her unusual condition: apart from the particularly large hips and a clubbed right foot, Myrtle was an attractive girl and had an altogether normal figure. But when she lifted her gown, the public was left breathless.

She married James Clinton Bicknell when she was 19 years old, and the following year she went to Dr. Lewis Whaley on the account of a pain in her left side coupled with other worrying symptoms. When the doctor announced that she was pregnant in her left uterus, Myrtle reacted with surprise:

“I think you are mistaken; if it had been on my right side I would come nearer believing it”; and after further questioning he found, from the patient’s observation, that her right genitals were almost invariably used for coitus.

That first pregnancy sadly ended with an abortion, but later on Myrtle, who had retired from show business, gave birth to four children, all perfectly healthy.

Given the enormous success of her show, other circuses tried to replicate the lucky formula – but charming ladies with supernumerary legs were nowhere to be found.
With typical sideshow creativity, the problem was solved by resorting to some ruse.
The two following diagrams show the trick used to simulate a three-legged and a four-legged woman, as reported in the 1902 book The New Magic (source: Weird Historian).

If you search for Myrtle Corbin’s pictures on the net, you can stumble upon some photographs of Ashley Braistle, the most recent example of a woman with four legs.
The pictures below were taken at her wedding, in July 1994, when she married a plumber from Houston named Wayne: their love had begun after Ashley appeared in a newspaper interview, declaring that she was looking for a “easygoing and sensitive guy“.

Unfortunately on May 11, 1996, Ashley’s life ended in tragedy when she made an attempt at skiing and struck a tree.

Did you guess it?
Ashley’s touching story is actually a trick, just like the ones used by circus people at the turn of the century.
This photographic hoax comes from another bizarre “sideshow”, namely the Weekly World News, a supermarket tabloid known for publishing openly fake news with funny and inventive titles (“Mini-mermaid found in tuna sandwich!” “Hillary Clinton adopts a baby alien!”, “Abraham Lincoln was a woman!”, and so on).

The “news” of Ashley’s demise on the July 4, 1996 issue.

 

Another example of a Weekly World News cover story.

To end on a more serious note, here’s the good news: nowadays caudal duplications can, in some instances, be surgically corrected after birth (it happened for example in 1968, in 1973 and in 2014).

And luckily, pouring cement is no longer needed in order to prevent jackals from stealing an extraordinary body like the one of Josephine Myrtle Corbin Bicknell.

Children of the Grave

They give birth astride of a grave,
the light gleams an instant,
then it’s night once more.

(S. Beckett, Aspettando Godot)

An Italian Horror Story

Castel del Giudice, Italy.
On the 5th of August 1875, a pregnant woman, indicated in the documents with the initials F. D’A., died during labor, before being able to give birth to her child.
On the following day, without respecting the required minimum waiting time before interment, her body was lowered into the cemetery’s fossa carnaria. This was a kind of collective burial for the poorest classes, still common at the time in hundreds of Italian communes: it consisted in a sealed underground space, a room or a pit, where the corpses were stacked and left to rot (some inside coffins, others wrapped in simple shrouds).

For the body of F. D’A., things began to get ugly right from the start:

She had to be lowered in the pit, so the corpse was secured with a rope, but the rope broke and D’A.’s poor body fell from a certain height, her head bumping into a casket. Some people climbed down, they took D’A. and arranged her on her back upon a nearby coffin, where she laid down with a deathly pale face, her hands tied together and resting on her abdomen, her legs joined by stitched stockings. Thus, and not otherwise, D’A. was left by the participants who buried her.

But when, a couple of days later, the pit was opened again in order to bury another deceased girl, a terrible vision awaited the bystanders:

F. D’A.’s sister hurried to give a last goodbye to her dead relative, but as soon as she looked down to the place where her sister was laid to rest, she had to observe the miserable spectacle of her sister placed in a very different position from the one she had been left in; between her legs was the fetus she had given birth to, inside the grave, and together with whom she had miserably died. […] Officers immediately arrived, and found D’A.’s body lying on her left side, her face intensely strained; her hands, still tied by a white cotton ribbon, formed an arch with her arms and rested on her forehead, while pieces of white ribbon were found between her teeth […]. At the mother’s feet stood a male newborn child with his umbilical cord, showing well-proportioned and developed limbs.

Imagine the horror of the poor woman, waking up in the dark in the grip of labor pains; with her last remaining energy she had succeeded in giving birth to her child, only to die shortly after, “besieged by corpses, lacking air, assistance or food, and exhausted by the blood loss suffered during delivery“.
One could hardly picture a more dreadful fate.

The case had a huge resonance all across Italy; a trial took place at the Court of Isernia, and the town physician, the mayor and the undertaker were found guilty of two involuntary murders “aggravated by gross negligence“, sentenced to six months in jail and fined (51 liras) – but the punishment was later cut by half by the Court of Appeal of Naples in November 1877.
This unprecedented reduction of penalty was harshly criticized by the Times correspondant in Italy, who observed that “the circumstances of the case, if well analyzed, show the slight value which is attached to human life in this country“; the news also appeared in the New York Times as well as in other British and American newspapers.

This story, however scary – because it is so scary – should be taken with a pinch of salt.
There’s more than one reason to be careful.

Buried Alive?

First of all, the theme of a pregnant woman believed dead and giving birth in a grave was already a recurring motif in the Nineteeth Century, as taphophobia (the fear of being buried alive) reached its peak.

Folklorist Paul Barber in his Vampires, Burial, and Death: Folklore and Reality (1988) argues that the number of people actually buried alive was highly exaggerated in the chronicles; a stance also shared by Jan Bondeson, who in one of the most complete books on the subject, Buried Alive, shows how the large majority of nineteenth-century premature burial accounts are not reliable.

For the most part it would seem to be a romantic, decadent literary topos, albeit inspired by a danger that was certainly real in the past centuries: interpreting the signs of death was a complex and often approximate procedure, so much so that by the 1700s some treatises (the most famous one being Winslow‘s) introduced a series of measures to verify with greater accuracy the passing of a patient.

A superficial knowledge of decomposition processes could also lead to misunderstandings.
When bodies were exhumed, it was not uncommon to find their position had changed; this was due to the cadaver’s natural tendency to move during decomposition, and to be sometimes subjected to small “explosions” caused by putrefaction gasses – explosions that are powerful enough to rotate the body’s upper limbs. Likewise, the marks left by rodents or other scavengers (loose dirt, scratches, bite marks, torn clothes, fallen hair) could be mistaken for the deceased person’s desperate attempts at getting out.

Yet, as we’ve said, there was a part of truth, and some unfortunate people surely ended up alive inside a coffin. Even with all our modern diagnostic tools, every now and then someone wakes up in a morgue. But these events are, today like yesterday, extremely rare, and these stories speak more about a cultural fear rather than a concrete risk.

Coffin Birth

If being buried alive was already an exceptional fact, then the chances of a pregnant woman actually giving birth inside a grave look even slimmer. But this idea – so charged with pathos it could only fascinate the Victorian sensibility – might as well have come from real observations. Opening a woman’s grave and finding a stillborn child must have looked like a definitive proof of her premature burial.
What wasn’t known at the time is that the fetus can, in rare circumstances, be expelled postmortem.

Anaerobic microorganisms, which start the cadaver’s putrefactive phase, release several gasses during their metabolic activity. During this emphysematous stage, internal tissues stretch and tighten; the torso, abdomen and legs swell; the internal pressure caused by the accumulation of gas can lead, within the body of a woman in the late stages of pregnancy, to a separation of amniotic membranes, a prolapse of the uterus and a subsequent total or partial extrusion of the fetus.
This event appears to be more likely if the dead woman has been pregnant before, on the account of a more elastic cervix.
This  strange phenomenon is called Sarggeburt (coffin birth) in early German forensic literature.

The first case of postmortem delivery dates back to 1551, when a woman hanged on the gallows released, four hours after her execution, the bodies of two twins, both dead. (A very similar episode happened in 2007 in India, when a woman killed herself during labor; in that instance, the baby was found alive and healthy.)
In Brussels, in 1633, a woman died of convulsions and three days later a fetus was spontaneously expelled. The same thing happened in Weißenfels, Saxony, in 1861. Other cases are mentioned in the first medical book to address this strange event, Anomalies and Curiosities of Medicine, published in 1896, but for the most part these accidents occurred when the body of the mother had yet to be buried.
It was John Whitridge Williams who, in his fortunate Obstetrics: a text-book for the use of students and practitioners (1904), pointed to the possibility of postmortem delivery taking place after burial.

Fetal extrusion after the mother’s death has also been observed in recent times.

A 2005 case involved a woman who died in her apartment from acute heroine intoxication: upon finding her body, it was noted that the fetus head was protruding from the mother’s underwear; but later on, during the autopsy, the upper part of the baby’s torso was also visible – a sign that gasses had continued to build in the abdominal region, increasing interior pressure.
In 2008 a 38 year-old, 7 months pregnant woman was found murdered in a field in advanced state of decomposition, accelerated by tropical climate. During the autopsy a fetus was found inside the woman’s slips, the umbilical cord still attached to the placenta (here is the forensic case study – WARNING: graphic).

Life In Death

So, going back to that unfortunate lady from Castel del Giudice, what really happened to her?
Sure, the autopsy report filed at the time and quoted in the trial papers mentioned the presence of air in the baby’s lungs, a proof that the child was born alive. And it’s possible that this was the case.

But on one hand this story fits all too perfectly within a specific popular narrative of its time, whose actual statistical incidence has been doubted by scholars; on the other, the possibility of postmortem fetal extrusion is well-documented, so much so that even archeologists sometimes struggle to interpret ancient skeletal findings showing fetuses still partially enclosed within the pelvic bone.

The only certain thing is that these stories – whether they’re authentic or made up – have an almost archetypal quality; birth and death entwined in a single place and time.
Maybe they’re so enthralling because, on a symbolic level, they remind us of a peculiar truth, one expressed in a famous verse from Manilius‘ Astronomica:

Nascentes morimur, finisque ab origine pendet.

“As we are born we die, our end commences with our beginning.”

The Homunculus Inside

Paracelsus‘ homunculus, the result of complicated alchemic recipes, is an allegorical figure that fascinated the collective uncoscious for centuries. Its fortune soon surpassed the field of alchemy, and the homunculus was borrowed by literature (Goethe, to quote but one example), psychology (Jung wrote about it), cinema (take the wonderful, ironic Pretorius scene from The Bride of Frankenstein, 1935), and the world of illustration (I’m thinking in particular of Stefano Bessoni). Even today the homunculus hasn’t lost its appeal: the mysterious videos posted by a Russian youtuber, purportedly showing some strange creatures developed through unlikely procedures, scored tens of millions of views.

Yet I will not focus here on the classic, more or less metaphorical homunculus, but rather on the way the word is used in pathology.
Yes beacuse, unbeknownst to you, a rough human figure could be hiding inside your own body.
Welcome to a territory where the grotesque bursts into anatomy.

Let’s take a step back to how life starts.
In the beginning, the fertilized cell (zygote) is but one cell; it immediately starts dividing, generating new cells, which in turn proliferate, transform, migrate. After roughly two weeks, the different cellular populations organize into three main areas (germ layers), each one with its given purpose — every layer is in charge of the formation of a specific kind of structure. These three specialized layers gradually create the various anatomical shapes, building the skin, nerves, bones, organs, apparatuses, and so on. This metamorphosis, this progressive “surfacing” of order ends when the fetus is completely developed.

Sometimes it might happen that this very process, for some reason, gets activated again in adulthood.
It is as if some cells, falling for an unfathomable hallucination, believed they still are at an embryonic stage: therefore they begin weaving new structures, abnormal growths called teratomas, which closely resemble the outcome of the first germ differentiations.

These mad cells start producing hair, bones, teeth, nails, sometimes cerebral or tyroid matter, even whole eyes. Hystologically these tumors, benign in most cases, can appear solid, wrapped inside cystes, or both.

In very rare cases, a teratoma can be so highly differentiated as to take on an antropomorphic shape, albeit rudimentary. These are the so-called fetiform teratomas (homunculus).

Clinical reports of this anomaly really have an uncanny, David Cronenberg quality: one homunculus found in 2003 inside an ovarian teratoma in a 25-year-old virginal woman, showed the presence of brain, spinal chord, ears, teeth, tyroid gland, bone, intestines, trachea, phallic tissue and one eye in the middle of the forehead.
In 2005 another fetiform mass had hairs and arm buds, with fingers and nails. In 2006 a reported homunculus displayed one upper limb and two lower limbs complete with feet and toes. In 2010 another mass presented a foot with fused toes, hair, bones and marrow. In 2015 a 13-year-old patient was found to carry a fetiform teratoma exhibiting hair, vestigial limbs, a rudimentary digestive tube and a cranial formation containing meninxes and neural tissue.

What causes these cells to try and create a new, impossible life? And are we sure that the minuscule, incomplete fetus wasn’t really there from the beginning?
Among the many proposed hypothesis, in fact, there is also the idea that homunculi (difficult to study because of their scarcity in scientific literature) may not be actual tumors, but actually the remnants of a parasitic twin, incapsulated within his sibling’s body during the embryonic phase. If this was the case, they would not qualify as teratomas, falling into the fetus in fetu category.

But the two phenomenons are mainly regarded as separate.
To distinguish one from the other, pathologists rely on the existence of a spinal column (which is present in the fetus in fetu but not in teratomas), on their localization (teratomas are chiefly found near the reproductive area, the fetus in fetu within the retroperitoneal space) and on zygosity (teratomas are often differentiated from the surrounding tissues, as if they were “fraternal twins” in regard to their host, while the fetus in fetu is homozygote).

The study of these anomalous formations might provide valuable information for the understanding of human development and parthenogenesis (essential for the research on stem cells).
But the intriguing aspect is exactly their problematic nature. As I said, each time doctors encounter a homunculus, the issue is always how to categorize it: is it a teratoma or a parasitic twin? A structure that “emerged” later, or a shape which was there from the start?

It is interesting to note that this very uncertainty also has existed in regard to normal embryos for the over 23 centuries. The debate focused on a similar question: do fetuses arise from scratch, or are they preexistent?
This is the ancient dispute between the supporters of epigenesis and preformationism, between those who claimed that embryonic structures formed out of indistinct matter, and those who thought that they were already included in the egg.
Aristotle, while studying chicken embryos, had already speculated that the unborn child’s physical structures acquire solidity little by little, guided by the soul; in the XVIII Century this theory was disputed by preformationism. According to the enthusiasts of this hypothesis (endorsed by high-profile scholars such as Leibniz, Spallanzani and Diderot), the embryo was already perfectly formed inside the egg, ab ovo, only too small to be visible to the naked eye; during development, it would just have to grow in size, as a baby does after birth.
Where did this idea come from? An important part was surely played by a well-known etching by Nicolaas Hartsoeker, who was among the first scientists to observe seminal fluid under the microscope, as well as being a staunch supporter of the existence of minuscule, completely formed fetuses hiding inside the heads of sperm cells.
And Hartsoeker, in turn, had taken inspiration precisely from the famous alchemical depictions of the homunculus.

In a sense, the homunculus appearing in an ancient alchemist’s vial and the ones studied by pathologists nowadays are not that different. They can both be seen as symbols of the enigma of development, of the fundamental mystery surrounding birth and life. Miniature images of the ontological dilemma which has been forever puzzling humanity: do we appear from indistinct chaos, or did our heart and soul exist somewhere, somehow, before we were born?


Little addendum of anatomical pathology (and a bit of genetics)
by Claudia Manini, MD

Teratomas are germ cell tumors composed of an array of tissues derived from two or three embryonic layers (ectoderm, mesoderm, endoderm) in any combination.
The great majority of teratomas are benign cystic tumors mainly located in ovary, containing mature (adult-type) tissues; rarely they contains embryonal tissues (“immature teratomas”) and, if so, they have a higher malignant potential.
The origin of teratomas has been a matter of interest, speculation, and dispute for centuries because of their exotic composition.
The partenogenic theory, which suggests an origin from the primordial germ cell, is now the most widely accepted. The other two theories, one suggesting an origin from blastomeres segregated at an early stage of embryonic development and the second suggesting an origin from embryonal rests have few adherents currently. Support for the germ cell theory has come from anatomic distribution of the tumors, which occurs along the body midline of migration of the primordial germ cell, from the fact that the tumors occur most commonly during the reproductive age (epidemiologic-observational but also experimental data) and from cytogenetic analysis which has demonstrated genotypic differences between omozygous teratomatous tissue and heterozygous host tissue.
The primordial germ cells are the common origins of gametes (spermatozoa and oocyte, that are mature germ cells) which contain a single set of 23 chromosomas (haploid cells). During fertilization two gametes fuse together and originate a new cell which have a dyploid and heterozygous genetic pool (a double set of 23 chromosomas from two different organism).
On the other hand, the cells composing a teratoma show an identical genetic pool between the two sets of chromosomes.
Thus teratomas, even when they unexpectedly give rise to fetiform structures, are a different phenomenon from the fetus in fetu, and they fall within the scope of tumoral and not-malformative pathology.
All this does not lessen the impact of the observation, and a certain awe in considering the differentiation potential of one single germ cell.

References
Kurman JR et al., Blaustein’s pathology of the female genital tract, Springer 2011
Prat J., Pathology of the ovary, Saunders 2004