SOCIETY OF THE UNIVERSITY OF ABERDEEN. 75) 



Date of observation, July, 1903. 

 Sex, Female. 



Downward displacement of several viscera and enlargement of 



the liver. 



In this subject the .stomach, great omentum, duodenum and 

 transverse meso-colon were displaced downwards, while the liver was 

 enlarged. 



The liver consisted of three lobes. The left lobe extended into 

 the left hypochondriac region, its extremity lying in a depression on 

 the anterior surface of the spleen. Part of the lobe immediately 

 above this extremity was slightly overlapped by the spleen. 



The right lobe was also enlarged. Instead of being in line with 

 the costal arch, this lobe ran parallel to the arch and 2 inches 

 inferior to it. 



About 2 inches from the junction of the tenth costal cartilage 

 with the other cartilages on the right side there lay a Riedel's lobe. 

 It was triangular in shape with its base directed upwards and con- 

 tinuous with the right lobe. The apex was blunt. It measured 

 about 3 inches in breadth by 2 inches in length, and reached from 

 the eleventh rib to the crest of the ilium which it touched. 



The stomach was normal in size but displaced, lying in the left 

 lumbar and the umbilical regions. The great curvature extended 

 down on the left side as far as the anterior superior spine of the ilium. 

 The great omentum was proportionately displaced, descending into 

 the pelvis 2 inches and lying behind the symphysis pubis. In it 

 an accessory spleen was found about the size of a hazel nut. 



The duodenum was also displaced downwards. The relations 

 of the first part were normal owing to the corresponding descent of 

 the liver, but instead of ending on the right side of the first lumbar 

 vertebra, it ended at the middle of the right side of the body of the 

 fourth lumbar vertebra. 



The descending portion passed from the latter point across the 

 right iliac vessels and prominence of the sacrum to enter the pelvis 

 for the distance of an inch. 



