Pathological and practical observations on diseases of the abdomen : comprising those of the stomach and other parts of the alimentary canal, oesophagus, caecum, intestines and peritoneum / by S.O. Habershon.

Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: Pathological and practical observations on diseases of the abdomen : comprising those of the stomach and other parts of the alimentary canal, oesophagus, caecum, intestines and peritoneum / by S.O. Habershon. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    30/668
    1' ig. V. Obstruction of sigmoid flexure by cancerous growth ; (a) columnar epithelium and nuclei; (b) fibrous tissue beneath the mucous mem- brane; (e) interspaces filled with nuclei; (c) surface of mucous mem- brane composed of dense fibre tissue.—Case CC. PLATE IV. Fig. I. Caecum inverted, appendix towards the pelvis, where it was adherent; ascending colon commencing opposite the ileum.—Case CXXIX. Fig. II. Caecum inverted and twisted on its own axis into the left hypochon- driac region, appendix close to the spleen; ascending colon constricted; constriction increased by band of adhesion to the sigmoid flexure, which appeared to have been the primary cause of the fatal twist and obstruc- tion.—Case CXXX. Fig. III. Position of intestines in case of intussusception of caecum and ascending colon into descending colon and sigmoid flexure; the com- mencement of the rectum is drawn from its position, to show the strangulated bowel within. Dr. Hughes’ case, No. CXCII. PLATE V. Dissection showing the distribution of the pneumogastric nerve on the an- terior surface of the stomach, its extension to the pancreas and pylorus, and its connection with the semilunar ganglia, &c.; (a) oesophageal ex- tremity of the stomach ; (5) pylorus ; (c c) pneumogastric nerves ; (e e) branch of the pneumogastric to the pancreas, connected also with the sympathetic, and then passing onwards to the pylorus; (//) other branches to the pylorus ; (gggg) branches of the pneumogastric nerve distributed on the anterior surface of the stomach, presenting a peculiar dichotomous division, and repeated union of its branches ; (hhh hh h) splanchnic nerves ; (?) aorta; (j) diaphragmatic artery, with a filament of nerve upon it; (A k) coronary artery ; (l) splenic artery; (m) hepatic artery turned aside from its position in front of the aorta, and from its origin at the cseliac axis ; and thus it appears to be behind the aorta; the° large branches of the sympathetic nerve upon it are continuous with the portion of ganglion (r*) close to the coronary artery; (n) vena portae; (o o) supra-renal capsules receiving numerous nerve fila- ments ; (rr) semilunar ganglia, and descending branches to the mesen- teric artery and renal plexus, &c.; (s) mesenteric artery diawn aside. In this distribution of nerves, the close sympathy of the stomach with the parts supplied by the semilunar ganglion is explained; thus, it is brought into connection with the liver by its hepatic branches, with the pancreas, with the diaphragm and phrenic nerve, with the supra-ienal capsules, and by its descending branches with other abdominal viscei a.