Communication between the external iliac and portal veins / by Frank Champneys.

  • Champneys, Francis Henry, Sir, 1848-1930.
Date:
[1872]
Catalogue details

Licence: Public Domain Mark

Credit: Communication between the external iliac and portal veins / by Frank Champneys. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    JX From the Journal of Anatomy wnd Phy^ogy, VoL V_ COMMUNICATION BETWEEN TJ^E^ g AND PORTAL VEINS. Brasenose CoUege, Oxford. [TERN^AL iliac ^C^AMi^EY^' B.A., 'S^ A FEW days since I was struck by the appea^'be oi.ihe veins on the deep surface of the Rectus Ahdothijiis, in ah aged female subject under dissection at St Bartholomew’s Hospital; varicose, as large as an ordinary cedar pencil, and full ot blood. They formed a chain from the lower end of the Rectus to the U m- bilical fissure of the Liver. On further examination, I found the deej) epigastric vein of the right side as large as a goose-quill, ending below, as usual, in the external iliac vein, and running with its artery towards the Umbilicus; near this spot one branch diverge and entered the muscle (no doubt to anastomose with the internal mammary), while the other ran onward and communicated^ fieely oppo.site the Umbilicus with a pervious umbilical vein, which ran into the left division of the Portal vein. As this trunk passed the Umbilicus, it was joined by several small fibrous-looking bands, some of them still vascular, and all I think formerly veins from the abdominal parietes. Joining with the large trunk, just two inches above the Umbilicus, were two longer cords running from the Umbilicus itself, the lumen of one of which was just dis- tinguishable for a short distance. The Ductus Venosus was quite impervious, the liver was much enlarged, pale, and marked with adhesions. I have been furnished with the following facts. The woman, aged 48, was admitted into the Infirmary of the Holborn Union in December, 1870, suffering from jaundice, clay-coloured stools, short dry cough, and occasional vomiting. About six months afterwards she had slight ascites, which gradually disappeared. The liver was much enlarged, could be felt below the ribs, and the area of dulness was considerably increased. There was no tenderness on pressure or symptom of obstruction. There had been moi’e or less discoloration of the skin with derangement of the liver for 15 months, and she had gradually declined in health. Supplemental note to pp. 176 and 179 in Vol. vi. of this Journal. In my paper on the Muscles of the Chimpanzee and Anubis, with their nerves, pp. 176 and 179, I used the expression ''Long Coracoid of Birds, Monotremes and Eeptiles. ” I have not heard that this has given rise to any misapprehension, hut, as it is better to avoid the possibility of mistake, I wish to state that I used those words in the sense of “ prolonged Coracoid,” or more exactly still in that of “ distal prolongation of the Coracoid,” that part namely which exists as bone in Reptiles, Birds and Monotremes, but in animals above them is either aborted or represented in Ligament only. The expression was a colloquial one, and perhaps as correct as such expres- sions usually are; the words would have been better printed “ long Coracoid” (with a small 1). The interest of this ligamentous band consists of course in the fact of its persistence so high in the Animal Kingdom. The Drill {Man- drilla leucophtea) was the highest animal in which it had previously been found. See Pagenstecher, Zool. Gart., April 1867, p. 129. FRANK CHAMPNEYS.