File:A text-book of clinical anatomy - for students and practitioners (1907) (14800329933).jpg

Identifier: textbookofclinic00eise (find matches)
Title: A text-book of clinical anatomy : for students and practitioners
Year: 1907 (1900s)
Authors: Eisendrath, Daniel N. (Daniel Nathan), b. 1867
Subjects: Human anatomy Anatomy
Publisher: Philadelphia London : W.B. Saunders Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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it and the fasciae lining these parts there is con-siderable areolar tissue in which the vessels, nerves, and lymphatics de-scribed above lie. In places this subserous tissue contains considerablefat (anterior wall). The peritoneum, through the aid of its subseroustissue, is loosely attached, except along the median line, so that it can beeasily lifted up by collections of fluid (pus or blood). That pus canburrow beneath it in all directions is especially the case in the iliac fossaeand lumbar regions, where considerable amounts of fluid may accumu-late beneath it. When the parietal peritoneum reaches the inferior aspect of thediaphragm, it is reflected upon it, and from this point the visceralperitoneum can be followed (see Fig. 82). Diaphragm Liver Lesser omentum Stomach Lesser peritonealcavity Transverse meso-colon. Transverse colon Omentum Small intestines (jej-unum and ileum) Full bladder Prostate Prostatic urethra Pubes Pendulous urethra Tunica vaginalis Fossa navicularis Testis
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Subphrenic spaceLiver (caudate lobe) Pancreas First lumbarvertebra Duodenum Retroperitoneal spaceMesentery -~ Peritoneal cavity Rectovesical pouch Ampulla of rectum Seminal vesiclesSeminal ductProstate Membranous urethra Anal canal Bulb of urethra Fi^. 82.—Sagittal section of abdomen in median line to show distribution of peri-toneum (modified from Spalteholz). THE ABDOMINAL CAVITY IN GENERAL. 263 The visceral peritoneum can be best understood by following it in avertical section made in the median line of the body (see Fig. 82) and innumber of horizontal sections of the abdomen made at different levels(Figs. 84, 86, and 88). A study of these sections will show the re-flections of the visceral peritoneum to be in the form of mesenteries,omenta, and ligaments. A mesentery means a double fold of peritoneum attaching a portionof intestine to the posterior abdominal wall. An omentum is a fold connecting the stomach to the liver (gastro-hepatic or lesser omentum), to the transverse colon

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