. Postmortem pathology; a manual of the technic of post-mortem examinations and the interpretations to be drawn therefrom;. ed by the pancreatic duct. A smallmagnifying-glass will often enable one to distinguish the papilla fromthe valvulse conniventes. Pressure upon the gall-bladder, as sug-gested by Virchow, will cause bile to flow out (but care must be takennot to dislodge a gall-stone, either here or in the cystic duct) and thusreveal the opening of the duct. Another way is to follow down thecystic duct, make a transverse incision in it, introduce downward asmall probe, a broom-straw, or a
. Postmortem pathology; a manual of the technic of post-mortem examinations and the interpretations to be drawn therefrom;. ed by the pancreatic duct. A smallmagnifying-glass will often enable one to distinguish the papilla fromthe valvulse conniventes. Pressure upon the gall-bladder, as sug-gested by Virchow, will cause bile to flow out (but care must be takennot to dislodge a gall-stone, either here or in the cystic duct) and thusreveal the opening of the duct. Another way is to follow down thecystic duct, make a transverse incision in it, introduce downward asmall probe, a broom-straw, or a grooved director until this emergesthrough the opening in the papilla, and then slit it with a knife or scis-sors. Orth says that if, after finding the head of the pancreas, the intes-tines are stretched transversely, the outlet will readily be discovered alittle below the middle of the head. Congenital diverticula of the duode-num are sometimes found, as well as those of the stomach and cesopha- Hepatic artery Liver Pylorus Stomach Portal veinDuctus chole-dochus Gall-bladder Duodenum Inferior venacava Spermatic vein. Portion ofdiaphragm / Pancreas Ureter Spermatic vein Ureter Fig. 122.—Examining the bile ducts. The left index-finger is introduced into the foramen of Winslowand supports the hepatic artery, the portal vein, and the ductus choledochus, into the latter of which asound has been introduced and is seen coming out of the opening in the duodenum. (After Nauwerck.)
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectanatomypathological
