434 ABDOMEN 



Fasten the lower border of the anterior surface of the liver to the right 

 costal arch and examine the stomach. 



Ventriculus (Stomach). The stomach is a pear-shaped 

 organ which lies in the left hypochondriac and epigastric 

 regions, partly below and partly to the left side of the liver. 

 Its long axis runs obliquely and is curved upon itself, the 

 bass m fundus of the organ being situated above, behind, and 

 to the left, whilst the apex or pylorus lies lower, more anteriorly, 

 and more to the right. Traced from its highest to its lowest 

 point it runs first forwards and slightly downwards, then to 



(Esophagus 



Fundus 



Pyloric 



Duodeno-pyloric 

 constriction 

 Duodenum 



greater omentum to 

 greater curvature 



FIG. 164. Stomach of a Child, two years of age, hardened in situ by formalin 



injection. 



the right, and finally slightly backwards to its junction with 

 the duodenum or proximal portion of the small intestine. 

 When the left lobe of the liver is pulled upwards and to the 

 right the oesophagus will be found entering the stomach a 

 little to the right of the highest point of the fundus, at the 

 cardiac or xsophageal orifice. From this point the two borders 

 of the stomach can be traced to the pyloric end of the organ. 

 The upper border or small curvature is much the shorter ; it 

 runs downwards and to the right in a fairly uniform curve. 

 The great curvature is much longer. First it ascends from the 

 oesophagus to the highest point of the fundus. After crossing 



