Hart describes the adult Santos in full, and accompanies
his article with an illustration. At this time he was said to
have developed double genitals, and possibly a double bladder
communicating by an imperfect septum. At adulthood the anus was
three inches anterior to the os coceygeus. In the sitting or
lying posture the supernumerary limb rested on the front of the
inner surface of the lower third of his left thigh. He was in the
habit of wearing this limb in a sling, or bound firmly to the
right thigh, to prevent its unseemly dangling when erect. The
perineum proper was absent, the entire space between the anus and
the posterior edge of the scrotum being occupied by the pedicle.
Santos' mental and physical functions were developed above
normal, and he impressed everybody with his accomplishments.
Geoffroy-Saint-Hilaire records an instance in which the
conformation was similar to that of Santos. There was a third
lower extremity consisting of two limbs fused into one with a
single foot containing ten distinct digits. He calls the case one
of arrested twin development.
Van Buren and Keyes describe a case in a man of forty-two, of
good, healthy appearance. The two distinct penises of normal size
were apparently well formed and were placed side by side, each
attached at its root to the symphysis.
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