Abdominal surgery Author:James Greig Smith Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: 32 Fig. i (after Tillaux). Showing the Regions of the Abdomen and thtir Contents. 1. Epigastric. II. Right Hypochondriac. III. Left Hypochondriac. IV. Umbi... more »lical. V. Right Lumbar. VI. Left Lumbar. VII. Hypogastric. VIII. Right Iliac. IX. Left Iliac. i. Diaphragm. 2. Liver. 3. Pylorus. 4. Gall-bladder. 5. Duodenum. 6. Right Kidney. 7. Small Bowel. 8. Ascending Colon. 9. Iliac Crest. 10. Ciecuni. n. Appendix Vermiformis. 12,18, Obturator Vessels, R. and L. 13, 17. Obturator Membrane. 14. 16, Corpora Cavernosa. 15. Urethra. 19. Bladder. 20, 22. Rectum, Sigmoid Flexure [should be H-shapcd). 21. Lett Ilium. 23, 24. Iliac Vessels. 25. Descending Colon. 26. Vena Cava inf. 27. Aorta. 28. Left Kidney. 29. Transverse Colon. 30. Greater Curvature of Stomach. 31. Spleen. 32. Cardiac Orifice of Stomach. 33. Pancreas. and the tail of the pancreas. Sometimes the left lobe of the liver extends into this region. Umbilical (IV.)—The great omentum, the transverse colon, the bulk of the small intestine, the mesentery, the aorta, and the inferior vena cava. Lumbar regions, right and left (V. and VI.)—Some convolutions of the small intestine ; the colons, ascending on the right, descending on the left; the kidneys and ureters, and masses of cellulo-adipose tissue. Hypogastric (VII.)—The great omentum, the small intestine, the bladder when distended, and the uterus when enlarged. Iliac, right and left (VIII. and IX.)—On the right, the caecum ; on the left, thesigmoid flexure, covered by convolutions of the small intestine. Tumours first appear in the situation of the organs from which they grow, and their main attachments are the same. Even if they encroach upon other regions, as they very frequently do, abdominal tumours usually have their chief bulk in the normal situation of...« less