1004 THE DIGESTIVE SYSTEM. 
peritoneum is absent, over an irregularly triangular area (Fig. 674), and here the 
stomach hes in direct contact with the diaphragm (sometimes also with the top of 
the left kidney and suprarenal capsule). 
It should be poimted out that the under surface of the stomach is separated from the 
duodeno-jejunal flexure and the beginning of the jejunum by the transverse mesocolon only. By 
Aorta 
Fossa for Spigelian lobe 
Right phrenic vessels (Hsophagus 
Vena cava \ \ | | Coronary artery 
P P \ j ; 
Hepatic vein \ | / Diaphragin 
Hepatie artery 
Portal vein 
Pylorus 
Bile duet 
Left suprarenal body 
Splenic artery 
Kidney 
re PA pans r r 5 5 
Right suprarenal body j Upper surface of pancreas 
/ 
> Gastric surface of spleen 
Under surface 
of pancreas 
Attachment of 
transverse 
mesocolon 
Duodeno- 
“jejunal flexure 
Gastro-duodenal 
artery and neck 
_ of pancreas 
Superior mesen- 
teric artery 
Head of 
pancreas 
Superior 
mesenteric 
vein 
—_ 
— 
Ureter 
~\ 
Inferior mesen- eg 
teric artery 
Spermatic vein 
Ureter 
Right Common iliac 
vein 
Right common iliac 
artery 
Left common iliac 
vein 
Fic. 677.—THE VISCERA AND VESSELS ON THE POSTERIOR ABDOMINAL WALL. 
The stomach, liver, and most of the intestines have been removed. ‘The peritoneum has been preserved on the 
right kidney, and also the fossa for the Spigelian lobe. In taking out the liver, the vena cava was left 
behind, The stomach bed.is well shown. (From a body hardened by chromic acid injections.) 
cutting through this, the surgeon is enabled to bring the stomach and duodenum together in the 
operation of gastro-intestinal anastomosis. 
The cardiac end or fundus (fundus ventriculi) is, in the distended condition, a 
large rounded cul-de-sac, which projects backwards and upwards against the left 
