1208 



SURGICAL AND TOPOGRAPHICAL ANATOMY 



vertical plane from the middle of Poupart's ligament be preferred to that here 

 adopted, the name of ^ iliac' region must rej^lace that of ^inguinal,' and the two 

 inguinal canals would be transferred to the hypogastric region. The choice of the 

 intertuberculous plane in place of the interspinous plane affects the table chiefly in 

 bringing the lower part of the ascending colon into the right ' iliac ' region. 



The subjoined diagram shows the two principal schemes, and the table offers a 

 summary of the visceral contents: 



I 



1 



77ie Abdominal Viscera regionally arranged. 



Right 



Hypochondriac \ 



Liver : portion of right lobe I 



(gall bladder usually cut ■§ 



bj' longitudinal line). ^ 



Kidney : upper and outer ? 



part. "I 



Colon : hepatic flexure and -f 



part of ascending colon. -S 



Middle 



Epigastric 



Liver : quadrate, caudate, 



Spigelian, and greater part 



of left lobes (gall bladder 



usually cut by longitudinal 



line). 

 Pancreas : head and body. 

 Spleen : upper and inner 



part. 

 Kidneys : upper and inner 



part of each, with pelves. 

 Suprarenal bodies. 

 Stomach : middle and pyloric 



regions, cardiac and pyloric 



orifices. 

 Duodenum: first and second 



portions and termination of 



third portion. 

 Small intestine : transverse 



colon, variable portion. 



Left 



Hypochondriac 



Liver : portion of left lobe. 

 Spleen: lower and outer 



part. 

 Pancreas . 

 Kidney : 



part. 

 Stornach . 



tail, 

 upper 



and outer 



great cul-de-sac- 



Colon : splenic flexure. 



•Upper horizontal plane at level of lowest point of costal border- 



I/umbar 



Kidney : lower and outer 



part. 

 Ascending colon. 

 Ccecum : portion or whole. 

 Small intestine : chiefly 



ileum. 



Umbilical 



Kidneys : lower and inner por- 

 tion of each, with ureters. 



Duodenum: lower flexure 

 and part of third portion. 



Jejunum and ileum. 



Transverse colon : portion. 



Sigmoid flexure and com- 

 mencement of rectum. 



Lumbar 



Kidney : lower and outer 

 part. 



Small intestine: chiefly jeju- 

 num. 



Descending colon and portion 

 of sigmoid flexure. 



'Lower horizontal plane at level of anterior superior iliac spines carried into true pelvis- 



Inguinal 



Small intestine. 

 Ccecum : lower portion, occa- 

 sionally. 

 Inguinal canal. 



Hypogastric 



Small intestine. 



Sigmoid flexure and rectum 

 (portion). 



Ccecum : lower portion, occa- 

 sionally. 



Ureters. 



Bladder : in children, and 

 distended bladder in adults. 



Fundus uteri and append- 

 ages. 



Inguinal 



Small intestine. 

 Sigmoid flexure : portion. 

 Inguinal canal. 



