. Surgery, its principles and practice . g and abdominal pain. Laparotomy was performed. When the cyst was tapped, it wasfound to lie entirely in front of the intestines and was slightly adherentto the parietal peritoneum in the midline below the umbilicus and inthe right flank. These adhesions were separated and the cyst was foundto be attached to a thick pedicle of omentum running up to the transversecolon. This pedicle was clamped and the cyst withdrawn from theabdomen entire. There was no vomiting and no rise of temperature afterthe operation. Microscopic examination showed it to consist o
. Surgery, its principles and practice . g and abdominal pain. Laparotomy was performed. When the cyst was tapped, it wasfound to lie entirely in front of the intestines and was slightly adherentto the parietal peritoneum in the midline below the umbilicus and inthe right flank. These adhesions were separated and the cyst was foundto be attached to a thick pedicle of omentum running up to the transversecolon. This pedicle was clamped and the cyst withdrawn from theabdomen entire. There was no vomiting and no rise of temperature afterthe operation. Microscopic examination showed it to consist of lymph-angiomatous tissue. The recovery was uninterrupted. THE MESENTERY. In penetrating wounds of the abdomen injury to the mesentery is one of the most common and serious lesions encountered. Its 634 SURGERY OF THE INTESTINES. consequences are important in proportion to the extent to which theintegrity of the blood-supply is compromised. Hemorrhage from mesen-teric vessels may be fatal. If a large mesenteric arterial branch is merely. Fig. 349.—Trauma of the Mesentery (Erdmann).a, Gangrenous area.
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