Volume 1
A textbook of practical medicine : with particular reference to physiology and pathological anatomy / by Felix von Niemeyer ; translated from the 8th German edition ... by George H. Humphreys and Charles E. Hackley.
- Felix von Niemeyer
- Date:
- 1880
Licence: Public Domain Mark
Credit: A textbook of practical medicine : with particular reference to physiology and pathological anatomy / by Felix von Niemeyer ; translated from the 8th German edition ... by George H. Humphreys and Charles E. Hackley. Source: Wellcome Collection.
775/792 page 755
![then be readily replaced if the body is favorably placed. In higher grades it usually lies in the left, sometimes in the right iliac region, with the hilus upward, held by a string consisting of the gastro- splenic ligament and the vessels of the pancreas and spleen. The spleen is usually twisted several times on its horizontal axis, as is shown by the string. The twisting probably begins by the spleen being thrown forward by the spleno-phrenic ligament. The dislo- cated spleen is often attached in its new position by pseudo-mem- branous adhesions. It may also undergo changes and atrophy from pressure and twisting of its vessels. The dislocation may last long and even be permanent, but in other cases it may sooner or later cause death by gangrene from obstruction of the vessels of the stomach. This is hastened by distention of the stomach from pres- sure on the duodenum by the pancreas and the cord going to the hilus of the spleen. Diagnosis of movable spleen is easy; for, al- though absence of splenic dulness does not prove displacement of the organ, the coincidence of a tumor in the abdomen which has the size and shape of the spleen removes all doubt. Treatment can only aim at preventing stretching of the pedicle by a suitable abdominal bandage, and relieving any existing disease of the spleen.]](https://iiif.wellcomecollection.org/image/b20418814_001_0775.jp2/full/800%2C/0/default.jpg)
