Archive image from page 1203 of Cunningham's Text-book of anatomy (1914). Cunningham's Text-book of anatomy cunninghamstextb00cunn Year: 1914 ( 1170 THE DIGESTIVE SYSTEM. its extent by tlie left cupola of the diaphragm, which arches gradually downwards behind and on the left to meet the floor. The floor or 'stomach led' (Fig. 921) is a sloping shelf on which the posterior surface of the stomach rests, and by which it is supported. The bed is formed posteriorly by the superior pole of the left kidney (with-the supra-renal gland) and the gastric surface of the spleen; anterior to this, by the w
Archive image from page 1203 of Cunningham's Text-book of anatomy (1914). Cunningham's Text-book of anatomy cunninghamstextb00cunn Year: 1914 ( 1170 THE DIGESTIVE SYSTEM. its extent by tlie left cupola of the diaphragm, which arches gradually downwards behind and on the left to meet the floor. The floor or 'stomach led' (Fig. 921) is a sloping shelf on which the posterior surface of the stomach rests, and by which it is supported. The bed is formed posteriorly by the superior pole of the left kidney (with-the supra-renal gland) and the gastric surface of the spleen; anterior to this, by the wide anterior surface of the pancreas; and more anteriorly still, by the transverse mesocolon running forwards above the small intestine, from the anterior edge of the pancreas to the transverse colon (Fig. 921), which completes the floor anteriorly. Finally, the anterior wall of the stomach chamber is formed by the abdominal wall, between the ribs on the left and the liver on the right side. This chamber is completely filled by the stomach, when that organ is distended. When, on the other hand, the stomach is empty and contracted, it still rests on the floor, or stomach bed, but occupies only the inferior portion of the chamber, whilst the rest of the space is filled by the transverse colon, which turns gradually upwards as the stomach retracts, and finally comes to lie both above and in front of that organ and immediately beneath the diaphragmâa fact to be remembered in clinical examinations of this region. Peritoneal Relations. â The stomach is almost completely covered by A. epigastrica superior 7th costal cartilage Lobus hepatis dexter Cut surface of liver Lobus caudatus A. gastrica sinistra A. cceliaca Lig. hepato-duodenale A. hepatica propria Vena portas Ductus choledochus Fundus vesicae fellea? Lig. triangulare siniBtruin Diaphragm (Esophagus Spleen Olandula suprarenalis â Left kidney A. lienalis Flexura coli sinistra Cauda pancreatis A. lienalis Peritoneum divided
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