TOPOGRA i 



dian sagittal section of th 



The bladder, the ureters, at 

 aernal in^ 

 >ed. i.. 



supra-vesical space (cavum i 



loose connective tissue. 1 >urface is directed upw; 



upon the small intestine and the sigmoid colon. In contrast to 



a peritoneal reflectioTFfSW*1 

 above the symphysis to reac 

 the bladder above 



~ ".-, \\riicii a part oi this reflect; m is still ; 

 the inner surface of the abdom: lal wall. Sir 



-is inconstant and varies with 





the degree of : 









viscus, it follows that the linfe of reflection of the peritoneum fiuiu llie ubdoin 

 bladder is also inconstant, ahd is higher or lower according to whether the bladdei>^^ / 

 empty. If the peritoneum il irritated by an inflammation, peritoneal pains^JiTbe prodl 

 by the displacement of the beritoneum during urination. The larger^j^rtion of the laletaL., 

 surfaces is also covered by peritoneum, which extends downwarclxtfver the ligamentum lum- 

 bilicale laterale ^efe^gfefla-^V: The posterior and inferior >flaces rest upon the sacral t urve 

 of the rectum (see page 150)! The posterior surface, at least in its upper portion, possesses 

 a peritoneal reflection. For this reason a rupture of the posterior wall of the bladder is i more 

 serious injury than one of the aAterior wall, since the former may atqinrp invnlrr thn p nnfn raffed! ^ 

 and almost surely produce a fatzjl peritonitis unless the surgeon int< in time. Be/vo&Bi.,Uife >M b* 



tht t'Vcni'atio rectovesicalir. Bfalnu' Iwr-feiu-.ifefc'ii 



\ f\n-r\ 



1) ider and the 



the reflection of the peri 



fuuiK 



irated from 



rectum-the posterior wall of 

 Of Ihfe rectum bv a loo.-e connective tissue, and the r 





T 



m 



re 



ui 



as 



re^^H 



in t! 



the 



throu: 



with water, 01 



toward the anteri. 



above the symphysis. |T 



of the pelvis and abdomen 



to the degree of distention. 



the rectum posterior however, ch 



of about one inch above the prostat< 



T3fn.he bladder (in the region of me 

 ie and, when well 



icai 

 undi; 



urn from the, bind 



\y 



. 





ind u; 







