Landmarks, Medical And Surgical

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— Let us next consider what viscera lie immediately behind the linea alba. For two or three fingers' breadth below the ensiform cartilage there is the left lobe of the liver, which here crosses the middle line.
Below the edge of the liver comes the stomach, more or less in contact with the linea alba, according to its degree of distension. In extreme distension the stomach pushes everything out of the way, and occupies all the room between the liver and the umbilicus. When empty and con- tracte
...d, it retreats behind the liver, and lies flat in front of the pancreas at the back of the abdomen; thus giving rise to the hollow termed the "pit of 70 THE ABDOMEN.
the stomach." But as the stomach distends, it makes a considerable fulness where there was a pit. The middle of the transverse colon lies above the umbilicus, occupying space (vertically two or three inches) according to its distension. Behind and below the umbilicus, supposing the bladder contracted, are the small intestines, covered by the great omentum.


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