A text-book of clinical anatomy : for students and practitioners . hebladder, when full, to push the layer of peritoneum covering its fundusupward two inches, so that the anterior bladder wall can be opened(suprapubic cystotomy) without opening the general peritoneal cavity. These divisions of the visceral peritoneum in the form of omenta,mesenteries, and ligaments, with the aid of the spinal column, divide theperitoneal cavity into a number of different spaces, which are of greatinterest from a clinical standpoint. First, the suspensory ligament of theliver and spinal column, down to the prom
A text-book of clinical anatomy : for students and practitioners . hebladder, when full, to push the layer of peritoneum covering its fundusupward two inches, so that the anterior bladder wall can be opened(suprapubic cystotomy) without opening the general peritoneal cavity. These divisions of the visceral peritoneum in the form of omenta,mesenteries, and ligaments, with the aid of the spinal column, divide theperitoneal cavity into a number of different spaces, which are of greatinterest from a clinical standpoint. First, the suspensory ligament of theliver and spinal column, down to the promontory of the sacrum, divideit into a right and a left half. It is also divided horizontally by the trans-verse colon with its mesocolon and omentum, especially when the latteris drawn up into an upper and a lower part. The upper part contains thestomach, liver, upper portion of the duodenum, pancreas, and lower portion contains the small intestine from the duodenojejunalflexure to the ascending and descending colon, the rectum, and thepelvic Fig. 81.—View of pelvic viscera (male) and retroperitoneal structures. PE, Reflec-tion of peritoneum covering superior surface of bladder. R, Extraperitoneal space abovepubes when bladder is full. U, Ureters. PC, Pelvic colon. IC, Iliac colon, formingwith PC what was formerly called the sigmoid flexure. DC, Descending colon, i,Testis with epididymis, lying horizontally. Normally it lies vertically. 2, Spermaticcord. On the right side the spermatic vessels and vas deferens are seen free; on theleft side they lie under the peritoneum at the brim of the pelvis. 3, Inferior vena right spermatic vein is seen arising upon its right side, near the kidney; left spermaticarises from the renal vein. 4, Aorta, at point where spermatic arteries are given off. 5,Aorta, just above celiac axis. 6, Is placed just above the superior mesenteric , Inferior mesenteric artery. 8, External iliac artery and vein, as they p
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