On retro-peritoneal hernia : being the 'Arris and Gale' lectures on the 'The anatomy and surgery of the peritoneal fossae' : delivered at the Royal College of Surgeons of England in 1897 / by B.G.A. Moynihan.

  • Berkeley Moynihan
Date:
1906
Catalogue details

Licence: Public Domain Mark

Credit: On retro-peritoneal hernia : being the 'Arris and Gale' lectures on the 'The anatomy and surgery of the peritoneal fossae' : delivered at the Royal College of Surgeons of England in 1897 / by B.G.A. Moynihan. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    X. Female child, aged thirteen months. Death from catarrhal pneumonia, following measles. On opening the abdomen, it was found that the greater part of the ascending colon was covered behind by peritoneum, so as to lie between the two layers of the mesentery. To the left of the abdominal cavity a sac containing bowel was seen. This sac was about 4J inches long, and 3^- inches in the transverse diameter, and extended from the middle line, where the entrance was placed, to the outer side of the descending colon. A short descending mesocolon was present. In the vertical direction the sac reached from the pancreas to a little below the brim of the pelvis. The sac contained rather more than half the intestine. On removing the bowel from the sac, three small descending intussusceptions were seen. The orifice of the sac, which looked directly to the right, admitted four fingers. The edge was very sharp, and contained the inferior mesenteric vein and the ascending branch of the left colic artery. The duodeno-jejunal flexure lies in the sac at the upper and inner extremity. [For explanation of this condition, see the text, p. 49.] The inferior duodenal fold is present, though small, and not as acutely defined as it generally is in children. No symptoms were present during life.