266 Anatomy Applied to Medicine and Surgery. 



Foecal impaction in the transverse colon. 

 A renal or suprarenal tumor. 



An aneurism of the abdominal aorta, or cseliac axis, or 

 superior mesenteric artery. 



IN THE LEFT HYPOCHONDRIAC REGION, THE TUMOR 

 MAY BE I 



An enlarged spleen. 



A cyst of the tail of the pancreas. 



A renal tumor or a movable kidney. 



Malignant disease of the cardiac end of the stomach. 



Foecal impaction of the splenic flexure of colon. 



A tongue-like projection of the left lobe of the liver. 



IN THE RIGHT LUMBAR : 



Mo.vable kidney or hydronephrosis, etc. 



Carcinoma, or foecal impaction in the ascending colon. 



Obstruction, etc., of the small intestine. 



UMBILICAL REGION I 



Renal tumor. 



A calculus or a carcinoma of the ureter. 

 Faecal impaction in the transverse colon. 

 Tumor of the omentum. 

 Cyst of the mesentery. 



Aneurism of the aorta or inferior mesenteric artery. 

 An enlarged lymphatic lumbar gland. 

 Obstruction, etc., of the small intestine. 

 Umbilical hernia, hernia into the fossa duodeno-jeju- 

 nalis. 



Carcinoma of the transverse part of the duodenum. 



LEFT LUMBAR I 



Renal tumor, etc. 



Movable kidney. 



Obstruction, etc., of the small intestine. 



Foecal impaction or carcinoma of the descending colon. 



