TORSION OF THE PELVIC FLEXURE 



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they are extremely interesting in connection with the 

 case we are considering (see Figs. 29 and 30). 



Fig. 29 gives us the abdomen laid open, and without 

 any moving of the contained viscera. The preparation 

 of the subject was exceedingly difficult owing to the 

 enormously distended nature of the bowels ; and it is 

 particularly interesting in this case to note {a, a) the 



Fig. 



29. — Torsion of the Pelvic Flexure of the Double 

 Colon. 



1,1, Coils of the twisted pelvic flexure ; 2, immediately above where 

 the figure 2 is marked is seen protruding the knuckle-end of the 

 gas-distended portion of small intestine. 



tremendously inflated portions of the colon, and (b) the 

 caecum which marked the termination of the case when 

 occlusion of the bowel became complete at the pelvic 

 flexure. 



The other illustration (Fig. 30) illustrates the same 

 case as Fig. 29, but with the colon slightly pulled out 

 from the abdomen to show more clearly the nature of 



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