. 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. I. —ST. THOMASS HOSPITAL. 166 DESCRIPTION OF PLATE II. II.—SPECIMEN 2696 E. ROYAL COLLEGE OF SURGEONS. Left Duodenal Hernia. The left end of a transverse colon, with the adjacent portionof the mesocolon seen from behind. At the root of the mesocolonis a globular peritoneal sac 5 inches in diameter, which containsalmost the whole of the small intestines. The mouth of the sac,measuring 9 inches in circumferen
. 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. I. —ST. THOMASS HOSPITAL. 166 DESCRIPTION OF PLATE II. II.—SPECIMEN 2696 E. ROYAL COLLEGE OF SURGEONS. Left Duodenal Hernia. The left end of a transverse colon, with the adjacent portionof the mesocolon seen from behind. At the root of the mesocolonis a globular peritoneal sac 5 inches in diameter, which containsalmost the whole of the small intestines. The mouth of the sac,measuring 9 inches in circumference, transmits the two extremitiesof the included intestine. The upper one is the first part of thejejunum, and is adherent to the neck as it enters the sac, whilethe lower coil, which belongs to the last few inches of the ileum,leaves the sac with its mesentery, and courses behind it to reachthe ileo-csecal valve. 1 Physical examination of the abdomen during life gave negativeresults. The patient was a woman, aged sixty-nine, who died ofcylindrical-celled epithelioma of the ileo-caecal II.—ROYAL COLLEGE OF SURGEONS. 168 DESCRIPTION OF PLATE III. III.—SPECIMEN 1083. GUYS HOSPITAL MUSEUM. Left Duodenal Hernia. The splenic flexure and descending part of a colon in theangle between which is situated a globular peritoneal sacmeasuring about 4 inches in diameter, and containing severalfeet of small intestine. The mouth of the sac is directed towardsthe vertebral column, and along its anterior margin is seen theleft colic artery. This is the specimen which was described by Dr. Pye-Smithin his paper in the Guys Hospital Reports. The specimen wasremoved from a dissecting-room subject. The photograph is nota very good one, but that is the fault of the specimen. Theinferior mesenteric vein is well seen in the anterior margin ofthe sac.
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