File:Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14785643643).jpg

Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
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Publisher: New York, London : D. Appleton and company

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Four Most Frequent Positions of the Splenic Flexure of the Colon. which had been occn))ied by the stomach (Fig. 49), Both organs have inter-vening peritonenm. Pancreas.—The center of the left kidnc^y is crossed transversely by thepancreas and the splenic vessels (Figs. 24 and 49). The width of the area isconstant, measuring 3 cm,, but it may be sitnated at various levels. As a rule,it crosses somewhat above the hilum. The pancreas is in intimate contact withthe anterior leaf of the renal fascia, with no peritoneum separating the twosurfaces. Occasionally the attachment is not so intimate, when we find the 70 THE RELATION OF THE KIDNEYS TO THE NEIGHBORING ORGANS. peritoneal covering of the anterior portion extending around the lower border,to ascend for a short distance until it becomes reflected over the kidney. Alongthe upper border of the pancreas there are the splenic vessels, the artery beingabove the vein. Owing to the more intimate connection between the pancreas and the kid-
Text Appearing After Image:
FiG. 49.—Dissection Showing From the Front the Kelatiuns uf the Kidneys to theStomach, the Pancreas, the Duodenum and Spleen, For the sake of clearness thestomach is represented as though transparent. ney, it not infrequently happens that in cases of movable or floating kidneythe pancreas follows the kidney. Splenic Flexure of the Colon.—Owing to the greater freedom of thecolon on the left side, the relation between the splenic flexure and the leftkidney is subject to more variation on that side. RELATION OF KIDNFTR TO ABDOMINAL ORGANS. 71 The angle between the transverse and descending colon is generally acute,caused by the oblique direction of the transverse portion (Fig. 4:8d). Thekidney is crossed by the end portion of the transverse colon; the level varyinganywhere between the upper and lower poles. As a rule, it crosses nearer tothe upper pole, as shown in Figure 47 and Figure 48a. This level correspondsto that of the XII rib. A lower arrangement such as shown in Figure 48b

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