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A case of “Recessus retro-mediastinalis.”

  • Published:
Irish Journal of Medical Science (1926-1967)

Summary

  1. (1)

    A case of unusual position of the stomach has been described showing

  2. (2)

    Shortness of the oesophagus, ending at the level of the 9th dorsal vertebra, and a recessus retromediastinalis phrenico-peritonealis.

  3. (3)

    The stomach lies partially above the level of the diaphragm and is held by mesenteries in a

  4. (4)

    sac-like peritoneum lined protrusion of the diaphragm.

  5. (5)

    The sac is bounded below by the crura.

  6. (6)

    The sac contains muscle above continuous with that of the oesophagus, and a little muscle below continuous with that of the diaphragmatic crura.

  7. (7)

    It is suggested, that the condition is primarily due to shortness of the oesophagus, the peritoneal extension being produced in part by the persistence of the right recessus pneumato-entericus, and in part by enlargement of the hiatus œsophageus and the stretching of its tissue over a relatively slowly descending stomach, with the formation of a secondary peritoneal pouch.

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References

  1. Coebergh, H. (1931):Anat. Anzeiger, Bd. 73. N 1/3, pp 56–63.

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  2. Bonn (1828): Ref. in (1).

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  3. Bright (1836):Guy’s Hosp. Rep., vols. i and iii.

  4. Bund (1918):Frankf. Zeitschft. f. Pathologie Bd. 21. Ref in (1)N

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  5. Plenk (1922):Wiener Klin. Wochenshft, Bd. 11. Ref. in (1)N.

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  6. Huffmann (1921):Zentralorgan. f. d. ges. Chirg., Bd. 11 Ref. in (1)N.

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  7. Von Tonndorf (1928):Deutsche Zeitschr. f. Chirg., Bd 179. S. 259–65. Ref. in (1).

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  8. Mayer (1914):Jo. Anat. and Physiol., vol. xlviii, p. 159. Also consulted:-Quain’sAnatomy. Cockayne and Gladstone (1917):Jo. Anat., lii, p. 65. Briscoe, G.:Jo. Anat., vol. lxii, p. 224 et seq.

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Author information

Authors and Affiliations

  1. Galway

    Stephen Shea

Authors
  1. Stephen Shea
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Shea, S. A case of “Recessus retro-mediastinalis.”. Ir J Med Sci 11, 647–649 (1936). https://doi.org/10.1007/BF02973223

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  • DOI: https://doi.org/10.1007/BF02973223

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