Text book of abdominal surgery : a clinical manual for practitioners and students . erior vena cava ; 10, 10, renalveins (the left is cut); 11, hepatic veins; a, a, kidneys; b, b, suprarenal capsules;c, c, ureters ; d, oesophageal opening in diaphragm. diaphragm, lumbar fascial, and the psoas muscles. In front ofthe right are the liver, the second part of the duodenum, andthe hepatic flexure of the colon; the position of the latter beingof especial importance, as it is pushed forwards by enlargementsof the kidney. It is thus an aid in diagnosis, and its positionhas also to be borne in mind whi
Text book of abdominal surgery : a clinical manual for practitioners and students . erior vena cava ; 10, 10, renalveins (the left is cut); 11, hepatic veins; a, a, kidneys; b, b, suprarenal capsules;c, c, ureters ; d, oesophageal opening in diaphragm. diaphragm, lumbar fascial, and the psoas muscles. In front ofthe right are the liver, the second part of the duodenum, andthe hepatic flexure of the colon; the position of the latter beingof especial importance, as it is pushed forwards by enlargementsof the kidney. It is thus an aid in diagnosis, and its positionhas also to be borne in mind while operating. In front of theleft are the stomach, spleen, pancreas, and the descending colon. SURGICAL ANATOMY. 257 The blood supply comes direct from the abdominal entering the kidney the renal artery usually divides intoseveral branches, and there is not infrequently a second orinferior renal artery coming off from the aorta farther arteries may also arise from the common iliac, the inferiormesenteric, or the middle sacral arteries. More rarely a renal. Fig. IS.—Schematic Diagram to show the nature of certain of the more frequentforms of Accessory Renal Arteries. (Hepburn.) 1, Abdominal aorta ; 2, phrenic arteries; 3, cceliac axis ; 4, superior mesentericartery; 5, ovarian (spermatic) arteries ; 6, inferior mesenteric artery; 7, 7, commoniliac arteries ; S, middle sacral artery; 9, 9, middle suprarenal arteries ; 10, l(f, superioraccessory renal arteries; 11, 11, renal arteries; 12, inferior accessory renal arteries;13, accessory renal from 6 ; 14, accessory renal from 7; /, lumbar arteries. artery has been seen arising from the internal iliac, and one caseis recorded in which both renal arteries sprang from a commontrunk on the front of the aorta. The right renal artery is longerthan the left, and passes behind the vena cava inferior. The leftvein is the longer, aud passes in front of the aorta and posteriorto the third part of the duodenum. Each k
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectabdomen, bookyear1894
