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Anatomy, Descriptive and Applied Volume . 3

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Anatomy, Descriptive and Applied Volume . 3

by Henry Gray, M.D.

About this title: This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1913 Excerpt: ...fourth lumbar vertebra, commonly a little to the left of the middle line,1 by dividing into the two common iliac arteries. It diminishes rapidly in size, in consequence of the many large branches which it gives off. As it lies upon the bodies of the vertebra?, the curve which it describes is convex forward, the summit of the convexity corresponding to the third lumbar vertebra. Relations.--The abdominal aorta is covered, anteriorly, by the lesser omentum and stomach, behind which are the branches of the coeliac artery and the coeliac plexus; below these, by the lienal vein, the pancreas, the left renal vein, the inferior part of the duodenum, the mesentery, and aortic plexus. Posteriorly, it is separated from the lumbar vertebra? and intervertebral fibrocartilages by the anterior longitudinal ligament and left lumbar veins. On the right side it is in relation above with the azygos vein, cisterna chyli, thoracic duct, and the right crus of the Diaphragma--the last separating it from the upper part of the inferior vena cava, and from the right coeliac ganglion; the inferior vena cava is in contact with the aorta below. On the left side are the left crus of the Diaphragma, the left coeliac ganglion, the ascending.part of the duodenum, and some coils of the small intestine. Applied Anatomy.--The abdominal aorta may be the seat of an aneurism either at its upper part, close to and often involving the cteliac artery, or at its lower part, near the bifurcation. 1 Lord Lister, having accurately examined 30 bodies in order to ascertain the exact point of termination of this vessel, found it "either absolutely, or almost absolutely, mesial in 15. while in 13 it deviated more or less to the left, and in 2 was slightly to the right." System of Surgery, edited...

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