. 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. a few cases a division of the orifice of the sac by aperitoneal fold has been observed. This is probably pro-duced in a similar manner to the division of the superior andinferior duodenal fossae. Brosike, however, is inclined tobelieve that such division results from the raising up of aperitoneal fold by the inferior mesenteric vein, which crossesthe mouth of the sac. I have never verified the descriptionof
. 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. a few cases a division of the orifice of the sac by aperitoneal fold has been observed. This is probably pro-duced in a similar manner to the division of the superior andinferior duodenal fossae. Brosike, however, is inclined tobelieve that such division results from the raising up of aperitoneal fold by the inferior mesenteric vein, which crossesthe mouth of the sac. I have never verified the descriptionof a double-barrelled orifice, and therefore can offer no opinionon the point. 8. The Inter - Mesocolic Fossa (Rcccssus inter - mcsocolicustransversus Brosike; fossa of Brosike—Fig. n).—This fossa,first pointedly described by Brosike, is of rare occurrence. THE FOLDS AND FOSSA? 3r I have only once met with it, some years ago. I then madea rough sketch of it, but thought no more of the matter untilI read the account given by Brosike. The fossa I observedcorresponds quite accurately with those which he observedon the left side. Brosike considers it as a modification of the fossa of. Fig. ii.—Recessus Inter-Mesocolicus Transversus. Fossa, or Fossa of Brosike. Inter-Mesocolic Jonnesco just described. He has seen it six times—thriceon the left side, thrice on the right. It runs horizontally inthe root of the transverse mesocolon. When placed as inthe figure, the opening is downwards and to the right, and theblind extremity is to the left. The upper or hinder wall isformed by the transverse mesocolon and the pancreas; thelower wall by the upper portion of the ascending portion ofthe duodenum and the duodeno-jejunal flexure ; the anteriorwall, by a special fold of peritoneum, uniting the under surface 32 THE DUODENAL FOLDS AND FOSSjE of the transverse mesocolon with the flexure and the line ofattachment of the meso-jejunum. This fold Brosike termsthe plica infra-mesocolica trans
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