Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

268/440 (page 250)

apparent. The length of the vessels seemed to him to prove the congenital predisposition. (2) Moveable Kidney on the right side. liemarJcable dis- placement of the large and small intestine. (Aberle 1841.) At the autopsy of a woman sixty-six years of age who had died after several apoplectic attacks, the opening of the ab- dominal cavity at once disclosed a body on the right side of the umbilical region glistening through the peritoneum which lay over it, destitute of fat and quite loose. This body was kidney-shaped and on closer examination proved to be in fact the right kidney lying somewhat obliquely in front of the psoas in such a position as to turn its concave border somewhat upwards. Besides this, the ascending colon and right part of the transverse colon were so much depressed from the right hypochondrium towards the hypo- gastric region, that no ascending colon could be found in this region, but the cascum passed at once into the transverse colon, which ran down towards the pelvis and then up towards the spleen in the shape of a V to pass through the splenic flexure into the descending colon. Again, on turning the liver up, the duodenum itself, somewhat depressed, was very distinctly seen through the anterior layer of the obliquely placed transverse mesocolon, between the liver and meso- colon. The stomach descended more obliquely than usual towards the duodenum from left to right. The small intes- tines and -part of the great omentum were for the most part depressed in the abdominal cavity. The left kidney was in its normal position. I have found a similar observation with regard to the situation of the colon in Sandifort (85) in the section; De prEeternaturali diversarum partium statu, in cadavere mulieris viso.^ Colon ex caeco enatum, juxta renem dextrum adscen- dens, et ad hepar pertingens, mox reflectebatur, juxta caecum, ad pelvis marginem usque descendens, inde ad ventriculum et lienem adscendebat, denique, iterum descendens, pelvim intrabat. . . . Ren dexter sanus, sinister morbosus. ^ Incorrectly quoted by Landau.