Surgical Applied Anatomy

Cover Surgical Applied Anatomy
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295 Between the last rib and the iliac crest is stretched the dense fascia lumborum, the posterior aponeurosis of the trans versalis muscle. It is pierced near the rib by the last intercostal artery and nerve and near the ilium by the ilio-hypogastric nerve and its accompany- ing artery. It is along these structures that an abscess may possibly find its way through the fascia in certain cases. The fascia divides behind into three layers, to enclose in definite spaces the quadratus and erector s...pinse muscles. Within these spaces or compartments suppuration may be for some time limited. A lumbar abscess commencing in some adjacent part, as in the spine or in the loose tissue around the kidneys, usually spreads backwards by piercing the fascia lumborum or the quadratus muscle. It then finds its way through the internal oblique, and appears on the surface between the external oblique and latissimus dorsi muscles, and at the outer border of the erector spinse. It should be noted that the quadratus muscle is very thin, and offers little resistance to protrusions from within, while a great part of the muscle is firmly supported behind by the erector spinse.

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