On the shoulder-tip pain, and other sympathetic pains, in diseases of the liver / by D. Embleton.
- Dennis Embleton
- Date:
- 1870
Licence: Public Domain Mark
Credit: On the shoulder-tip pain, and other sympathetic pains, in diseases of the liver / by D. Embleton. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![10 twigs; but repeated and faithful researches will give us a more uniform, mure correct, and more reliable account, both of the course and ultimate distribution of these important nerves. These extracts are from Quain and iSharpey, Ur. John Reid, Cruveilhier, Swan, liirschfeld and Leveille, Ur. J. Kollmann, and others. 1. Quain and Sharpey* say, that from the left nerve “ some filaments are continued between the layers of the small omentum to the hepatic plexus,” a part of the right nerve “ is continued from the stomach to the left side of the coeliac plexus, Sic.,” but no mention is here made of hepatic branches. But, again, in part III, p. 807, we find that “ the nerves of the liver are dc-rivecl partly from the coeliac plexus, and partly from the pneumogastric nerves, especially the left.” 2. Ur. John Reidf tells us that from the concavity of the curve formed by the left cagus as it j)a.sses from the cardia towards the right side, several small branches run upward.s, and to the right between the layers of the small omentum to join the loft hepatic plexus, and then “ The few branches of the le/t vagus which reach the pyloric orifice are partly dis- triV)uted u°)on the w'alls of that portion of the organ, and partly throw themselves into the coeliac plexus. Some of the filaments of the latter portion may be traced into the numerous ])lexuses .surrounding the gastroduodenalis bi'anch of the hepatic artery, into the right hepatic })lexus, and may, some- times, be followed as far as the artery of the gall bladder.” The right vagus, after giving its branches to the cardia and postei'ior .surface ot the stomach, sends a con.sideiable por- tion,—so large as generally to present the appearance of being the continuation of the trunk of the nerve, from the posterior surface of the cardiac region of the stomach, backwards and downwards to the left side of the coeliac axis, sending branches to the splenic, the coronary, and to the superior mesenteric plexuses, to the iJexus surrounding the pancreatic branches of the sple’nic artery, and it ultimately terminates in the left semilunar ganglion.” . , i r 3 Cni ocilhierX lays it down that one set of branches ol the left va-ms “enters the gastro-hepatic omentum, and is conducted by it°to the transvei-se fissure of the liver, and enters that gland ” 'I'he right “ gives a smaller number of branches to the stomach than the lelt, and Joins the solar plexus, of which it * Aiiat., 7tli Edit., part ii., p. G23. ... t Cyclopaedia of Auat. and Physiol., Loud., 184/, vol iii., p. 889- t Cruvciliiior’s Anatomy, Lib. Pract. Med., vol. vm., pp. 1137 and 1162.](https://iiif.wellcomecollection.org/image/b22471911_0020.jp2/full/800%2C/0/default.jpg)
