Book - Umbilicus (1916): Difference between revisions
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| [[File:Mark_Hill.jpg|90px|left]] This historic 1916 textbook by Cullen describes the umbilical region. | | [[File:Mark_Hill.jpg|90px|left]] This historic 1916 textbook by Cullen describes the umbilical region. | ||
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'''Links:''' [[Media:Embryology, anatomy, and diseases of the umbilicus together with diseases of the urachus (1916).pdf|PDF version]] | [https://archive.org/details/embryologyanatom00cull/page/n5 Internet Archive] | |||
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{{Historic Disclaimer}} | {{Historic Disclaimer}} | ||
=Embryology, Anatomy, and Diseases of the Umbilicus together with Diseases of the Urachus= | =Embryology, Anatomy, and Diseases of the Umbilicus together with Diseases of the Urachus= | ||
[[File:Cullen1916 titlepage.jpg|thumb|300px]] | |||
By | By | ||
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==Contents== | ==Contents== | ||
{{Cullen1916 TOC}} | {{Cullen1916 TOC}} | ||
<br><br> | |||
# [[Book - Umbilicus (1916) 1|Embryology of the Umbilical Region]] | # [[Book - Umbilicus (1916) 1|Embryology of the Umbilical Region]] | ||
# [[Book - Umbilicus (1916) 2|Anatomy of the Umbilical Region]] | # [[Book - Umbilicus (1916) 2|Anatomy of the Umbilical Region]] | ||
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==List of Illustrations== | ==List of Illustrations== | ||
[[Book - Umbilicus (1916) Figures|Figures]] | |||
1. Sagittal Section Showing a Very Early Stage in the Formation of the Umbilicus and allantois | |||
2. A More Advanced Stage in the Formation of the Umbilical Region | |||
3. A Composite Picture Showing the Formation of the Umbilicus in an Embryo | |||
4. A Diagrammatic Representation of a Human Embryo, about 3.5 mm. Long, Showing the Effect of the Expanding Amnion upon the Yolk-sac and Body-stalk | |||
Length | 5. Sagittal View of a Human Embryo 5 mm. in Length | ||
6. Anterior View and Transverse Section of a Human Embryo 7 mm. Long, Showing the Umbilical Region | |||
7. Sagittal Section of the Umbilical Region in an Embryo 7 mm. in Length | |||
Length | 8. Sagittal View of the Umbilical Region of a Human Embryo 10 mm. in Length | ||
9. Graphic Reconstruction of the Umbilical Cord of a Human Embryo 12.5 mm. in Length | |||
Length | 10. Anterior View of the Umbilical Cord of a Human Embryo 18 mm. in Length | ||
11. Sagittal Section of the Umbilical Region in a Human Embryo 23 mm. in Length | |||
12. A Graphic Reconstruction of the Umbilical Region of a Human Embryo 3 cm. Long | |||
13. Sagittal Section of the Umbilical Region in a Human Embryo 4.5 cm. in Length | |||
14. A Graphic Reconstruction of the Umbilical Region of a Human Embryo 4.5 cm in Length as Viewed from within the Abdomen | |||
15. Sagittal View of a Graphic Reconstruction of the Umbilical Region of a Human Embryo 5.2 cm. in Length 15 | |||
16. Intra-abdominal View of the Umbilical Region of a Human Embryo 6.5 cm. in Length | |||
17. Intra-abdominal View of the Umbilical Region in a Human Embryo 7.5 cm. Long | |||
18. Intra-abdominal View of the Umbilical Region in a Human Embryo 9 cm. in Length | |||
19. Intra-abdominal View of the Umbilical Region in a Human Embryo 10 cm. in Length | |||
20. Intra-abdominal View of the Umbilical Region in a Human Embryo 12 cm. Long | |||
21. Intra-abdominal View of the Umbilical Region in a Human Embryo 12 cm. in Length | |||
22. Intra-abdominal View of the Umbilical Region in a Human Embryo 12 cm. in Length | |||
23. Cross-section of the Umbilical Cord at the Umbilicus in a Human Embryo 12 cm. in Length | |||
of | 24. Internal View of the Umbilical Region in a Human Embryo 15 cm. Long | ||
25. A Composite Representation of Abnormal Umbilical Structures, Based on the Work of Keibel, Lowy, and Others | |||
26. A Composite Representation of Abnormal Umbilical Structures, Based on the Work of Keibel, Lowy, and Others | |||
27. A Composite Representation of Abnormal Umbilical Structures, Based on the Work of Keibel, Lowy, and Others | |||
28. The Umbilical Region in a Fetus about Five Months Old Viewed from the Left | |||
29. Side and Posterior Views of the Umbilical Region in a Fetus of Six to Seven Months | |||
30. Three Diagrams of the Umbilical Ring and Its Significance in the Development of Ventral Hernia | |||
Embryo 5.5 cm. Long | 31. The Appearance of the Yolk-sac (Umbilical Vesicle) in a Pregnancy, with the Embryo 5.5 cm. Long | ||
32. The Umbilical Region, the Cord, and the Placenta at Term | 32. The Umbilical Region, the Cord, and the Placenta at Term | ||
33. A Diagrammatic Representation of the Umbilical Region of a Fetus at Term | 33. A Diagrammatic Representation of the Umbilical Region of a Fetus at Term | ||
34. Normal Umbilicus according to Catteau | 34. Normal Umbilicus according to Catteau | ||
35. A Type of Umbilical Region in the Adult, Viewed from Within | 35. A Type of Umbilical Region in the Adult, Viewed from Within | ||
36. A Frequent Type of the Umbilical Region in the Adult, Viewed from Within | 36. A Frequent Type of the Umbilical Region in the Adult, Viewed from Within | ||
37. The Umbilical Region of an Adult, Viewed from Within | 37. The Umbilical Region of an Adult, Viewed from Within | ||
38. Classic Type of Umbilicus | 38. Classic Type of Umbilicus | ||
39. Disposition of the Vascular Cords (Usual Type) | 39. Disposition of the Vascular Cords (Usual Type) | ||
40. Vascular Cords of the Anastomosing Type, Noted 7 Times in 50 Cases | 40. Vascular Cords of the Anastomosing Type, Noted 7 Times in 50 Cases | ||
41. Vascular Cord Type, Noted 5 Times in 50 Cases | 41. Vascular Cord Type, Noted 5 Times in 50 Cases | ||
42. Vascular Cords, Noted 5 Times in 50 Cases, Completely Filling the Umbilical | 42. Vascular Cords, Noted 5 Times in 50 Cases, Completely Filling the Umbilical Ring | ||
43. Vascular Cords, Noted 3 Times in 50 Cases | |||
44. Vascular Cords, Noted in 2 out of 50 Cases | |||
45. Umbilical Fascia. Peritoneum in Place | |||
46. Umbilical Fascia and Umbilical Mesentery | |||
47. Reduplication of the Linea Alba. Peritoneum Removed | |||
48. Atrophy of the Umbilical Fascia, Posterior View | |||
49. Formation of a Mesentery. Peritoneum in Place | |||
50. Mesentery of the Urachus and of the Umbilical Arteries | |||
51. Adipose Fringes. From a Well-developed Young Woman. Peritoneum in Place | |||
52. Adipose Fringes in a Stout Subject. Peritoneum in Place | |||
53. Peritoneal Diverticula. Peritoneum in Place | |||
54. Peri-umbilical Fossettes. Peritoneum in Place | |||
55. Ovarian Pedicle Passing from Uterus out through a Hernial Ring in the Abdominal Wall | |||
56. Extra-abdominal Multilocular Fibrocystoma of the Ovary | |||
57. An Extra- abdominal Multilocular Fibrocystoma | |||
58. Superficial Lymphatics of the Umbilical Region | |||
59. The Deep Umbilical Lymphatics as Seen from the Peritoneal Side | |||
60. The Umbilical Vessels about the Time of Birth | |||
61. The Umbilical Vessels in the Adult | |||
62. 63. Method of Treating the Umbilical Stump at Birth | |||
64. Nature's Method of Checking Bleeding from the Umbilical Arteries | |||
65. An Umbilical Granulation | |||
66. The Gradual Atrophy of the Omphalomesenteric Duct | |||
67. An Umbilical Polyp Connected with Meckel's Diverticulum by a Fibrous Cord | |||
68. An Umbilical Polyp Attached to the Small Bowel by a Fibrous Cord | |||
69. An Umbilical Polyp on the Prominent Part of an Umbilical Hernia | |||
70. A Polypoid Outgrowth from the Umbilicus | |||
71. Tubular Glands from the Umbilical Polyp Shown in Fig. 70 | |||
72. A Diverticular Tumor at the Umbilicus | |||
73. A Glandular Tumor from the Umbilicus | |||
74. A Glandular Growth at the Umbilicus | |||
75. Section in the Long Axis of a Small Umbilical Growth | |||
76. Adenoma of the Umbilicus | |||
77. Ax Umbilical Polyp Attached to a Meckel's Diverticulum by a Fibrous Cord | |||
78. Ax Umbilical Polyp Attached to a Meckel's Diverticulum by a Fibrous Cord | |||
79. An Umbilical Polyp | |||
80. A Small Intestinal Polyp Almost Fillingthb Umbilical Depression | |||
81. An Umbilical Polyp | |||
82. Portion of an Intestinal Polyp Partially Filling the Umbilical Depression | |||
83. Transverse Section op a Pseudopyloric Congenital Fistula at the Umbilicus | |||
84. High-power Picture op a Fistulous Tract at the Umbilicus, Showing Glands Resembling those of the Pylorus | |||
85. An Umbilical Fistula Lined with Mucosa Resembling that of the Stomach | |||
86. Appearance of the Umbilical Depression in von Rosthorn's Case | |||
87. Gastric Mucosa at the Umbilicus | |||
88. Appearance of the Umbilicus After Removal of the Stomach Mucosa Seen in Fig. 87 | |||
89. Persistence of the Outer End of the Omphalomesenteric Duct | |||
90. Atrophy of the Inner End of the Omphalomesenteric Duct | |||
91. A Long Umbilical Polyp as a Remnant of the Omphalomesenteric Duct | |||
92. Meckel's Diverticulum | |||
93. A Meckel's Diverticulum Attached to the Abdominal Wall at the Umbilicus | |||
94. An Abnormally Large Meckel's Diverticulum | |||
95. A Meckel's Diverticulum with a Lobulated Extremity | |||
96. A Meckel's Diverticulum with Hernial Protrusions from Its Surface | |||
97. A Short Meckel's Diverticulum Springing from the Mesenteric Attachment | |||
98. An Accessory Pancreas in the Tip of Meckel's Diverticulum | |||
99. A Meckel's Diverticulum Completely Tying off a Loop of Small Bowel | |||
100. A Diverticulum Tying Off a Loop of Small Bowel | |||
101. Strangulation of a Meckel's Diverticulum Causing Volvulus of the Ileum | |||
102. Fatal Intestinal Obstruction Due to the Passage of the Bowel through a Hole in the Mesentery of a Meckel's Diverticulum | |||
103. Inversion of a Meckel's Diverticulum into the Lumen of the Bowel | |||
104. A Well-developed Loop of Small Bowel in a Dermoid Cyst of the Ovary | |||
105. An Intestinal Cyst | |||
106. An Intestinal Cyst Attached to the Umbilicus by a Pedicle but not Connected with the Bowel | |||
107. Volvulus of Meckel's Diverticulum | |||
108. An Intestinal Cyst Developing from Meckel's Diverticulum | |||
109. Intestinal Cysts in the Abdominal Cavity | |||
1 10. An Intramesenteric Cyst | |||
111. A Patent Omphalomesenteric Duct | |||
112. A Patent Omphalomesenteric Duct with a Polypoid Formation at the Umbilicus | |||
113. A Very Short Omphalomesenteric Duct | |||
with the | 114. A Patent Omphalomesenteric Duct with a Polyp-like Formation at the Umbilicus | ||
1 15. A Patent Omphalomesenteric Duct | |||
116. A Patent Omphalomesenteric Duct | |||
117. A Patent Omphalomesenteric Duct | |||
118. A Patent Omphalomesenteric Duct | |||
119. A Patent Omphalomesenteric Duct | |||
120. A Patent Omphalomesenteric Duct | |||
121. A Patent Omphalomesenteric Duct | |||
122. Part of a Patent Omphalomesenteric Duct | |||
123. Intestinal Mucosa Covering the Cutaneous or Umbilical End of a Patent Omphalomesenteric Duct | |||
124. An Umbilical Polyp and a Fibrous Nodule at the Umbilicus. There was Originally a Patent Omphalomesenteric Duct | |||
125. Longitudinal Section through the Entire Center of a Partially Closed Omphalomesenteric Duct | |||
126. A Patent Omphalomesenteric Duct | |||
127. A Patent Omphalomesenteric Duct Opening at the Base of the Umbilical Cord | |||
128. A Patent Omphalomesenteric Duct | |||
129. A Patent Omphalomesenteric Duct as Seen from the Abdominal Cavity | |||
130. Inversion of the Bowel through a Patent Omphalomesenteric Duct Opening on the Side of the Umbilical Cord | |||
131. A Patent Omphalomesenteric Duct of Large Diameter | |||
132. Commencing Prolapsus of Small Bowel through a Patent Omphalomesenteric Duct | |||
133. Partial Prolapsus of the Small Bowel through the Omphalomesenteric Duct | |||
134. Prolapsus of the Small Bowel through the Patent Omphalomesenteric Duct | |||
135. Complete Prolapsus of the Bowel through the Patent Omphalomesenteric Duct | |||
136. Prolapsus of the Small Bowel through the Patent Omphalomesenteric Duct, and an Umbilical Hernia between the Loops of Prolapsed Bowel | |||
137. Prolapse of the Small Bowel through an Open Omphalomesenteric Duct | |||
138. Prolapsus of the Bowel through a Patent Omphalomesenteric Duct | |||
139. Prolapsus of the Bowel through a Patent Omphalomesenteric Duct, with Secondary Complications | |||
140. Prolapsus and Inversion of the Intestine through a Patent Omphalomesenteric Duct | |||
141. Prolapsus of the Bowel through the Patent Omphalomesenteric Duct | |||
142. A Small Cyst of the Umbilicus Due to a Remnant of the Omphalomesenteric Duct | |||
143. Small Cyst of the Abdominal Wall Due to a Remnant of the Omphalomesenteric Duct | |||
144. A Small Intestinal Cyst Lying between the Peritoneum and the Recti | |||
145. An Omphalomesenteric Duct Originating from the Concave Side of the Bowel and Attached to the Umbilicus by a Fibrous Cord | |||
146. A Remnant of an Omphalomesenteric Duct Causing Fatal Intestinal Obstruction | |||
147. A Small Umbilical Concretion | |||
148. Acute Inflammation of the Umbilicus Due to an Accumulation of Sebaceous Material | |||
149. Cholesteatoma from the Umbilicus in Case 1 | |||
150. Cholesteatoma from Case 2 | |||
151. A Connective-tissue Projection Really Representing a Small Fibroma in the Floor of the Umbilicus | |||
152. Enlargement of Fig. 151 | |||
153. Subumbilical Phlegmon | |||
154. The Subumbilical Space | |||
155. Paget's Disease of the Umbilicus | |||
156. Paget's Disease of the U/mbilicus | |||
157. Paget's Disease of the Umbilicus | |||
158. Paget's Disease of the Umbilicus | |||
159. The Appearance in a Case of Paget's Disease of the Umbilicus After Treatment with Radium | |||
160. Syphilis of the Umbilicus | |||
161. Atrophic Tuberculid Starting at the Umbilicus | |||
162. Leakage from an Abdominal Aneurysm Producing a Temporary Abdominal Tumor; Subsequent Escape of the Blood into the Right Renal Pocket | |||
163. The Manner in Which a Periprostatic Abscess may Occasionally Rupture at the Umbilicus | |||
164. Escape of Pleural Fluid from the Umbilicus | |||
165. The Opening of a Broad Ligament Abscess at the Umbilicus | |||
166. Abdominal Pregnancy with Spontaneous Escape of Liquor Amnii from the Umbilicus | |||
167. Small Papilloma in the Umbilical Depression | |||
168. A Shall Umbilical Tumor Containing Glands and Stroma Identical with Those of the Uterine Mucosa | |||
169. Glands from a Small Umbilical Tumor | |||
170. Typical Uterine Mucosa in a Small Umbilical Tumor. An Enlargement of Area B in Fig. 168 | |||
171. Glands in a Small Umbilical Tumor | |||
172. Dilated Glands in a Small Umbilical Tumor | |||
173. Dichotomous Branching of Glands in a Small Umbilical Tumor | |||
174. Uterine Glands in an Umbilical Tumor | |||
175. Gland Hypertrophy in a Small Umbilical Tumor | |||
176. A Tumor of the Umbilicus Composed Partly of Hypertrophic Sweat-glands | |||
177. Uterine Mucosa in an Umbilical Tumor | |||
178. A Small Umbilical Tumor Containing Numerous Glands | |||
179. Glands in a Small Umbilical Tumor | |||
180. An Adenomyoma in the Abdominal Wall Near the Anterior Iliac Spine | |||
181. A Small Umbilical Tumor Containing Glands Similar to Those of the Body of the Uterus | |||
182. Adenomyoma of the Umbilicus | |||
183. A Group of Sweat-glands in an Umbilical Tumor | |||
184. Appearance of the Carcinomatous Umbilicus After Removal | |||
185. Carcinoma of the Umbilicus Secondary to Carcinoma of the Ovaries | |||
186. A Malignant Growth of the Umbilicus, Apparently a Carcinoma Secondary to Some Abdominal Growth | |||
187. Adenocarcinoma of the Umbilicus Secondary to an Intra-abdominal Growth | |||
188. Adenocarcinoma of the Umbilicus | |||
189. A Section Showing Carcinoma of the Right Inguinal Glands | |||
190. Secondary Carcinoma of the Umbilicus | |||
191. Telangiectatic Myxosarcoma of the Umbilicus | |||
192. Appearance of the Umbilicus After Removal of the Tumor Shown in Fig. 191 | |||
193. Myxosarcoma of the Umbilicus | |||
194. Telangiectatic Myxosarcoma Projecting from the Right Side of the Umbilicus | |||
195. A Telangiectatic Myxosarcoma | |||
196. A Case of Congenital Umbilical Hernia | |||
197. An Amniotic Hernia | |||
198. Several Loops of Bowel Which Lay Outside the Umbilicus and were Nipped Off During Fetal Life. The Child Lived a Short Time After Birth | |||
199. A Serous Umbilical Hernia | |||
200. Freeing the Umbilical Hernial Sac from the Abdomen | |||
201. Closure of the Hernial Opening at the Umbilicus | |||
202. Closure of the Hernial Opening at the Umbilicus | |||
203. An Umbilical Hernia Associated with Marked Prolapsus of the Abdominal Wall | |||
204. An Umbilical Hernia and a Markedly Pendulous Abdomen in a Patient Weighing 464 Pounds | |||
205. The Abdominal Scar After the Removal of a Very Large Area of Fat | |||
206. An Umbilical Cyst | |||
207. Exstrophy of the Bladder Opening at or Near the Umbilicus | |||
208. Exstrophy of the Bladder. A side View of the Case Depicted in Fig. 207, Showing the Relative Distance from the Symphysis to the Opening in the Abdominal Wall | |||
209. Exstrophy of the Bladder | |||
210. Escape of Urine from the Umbilicus When the Inner Urethral Orifice Is Blocked by a Membrane | |||
211. A Patent Urachus with a Mushroom-like Projection at the Umbilicus | |||
212. A Patent Urachus with a Penile Projection at the Umbilicus | |||
213. The Appearance of the Umbilicus in a Case in Which both a Patent Omphalomesenteric Duct and a Patent Urachus Existed | |||
214. Cross-section of the Patent Omphalomesenteric Duct and of the Patent Urachus in the Same Child | |||
215. A Picture of the Child Three Weeks After Removal of a Patent Omphalomesenteric Duct and a Patulous Urachus | |||
216. A Patent Urachus | |||
217. A Urachus Open from Bladder to Umbilicus | |||
218. An Open Urachus | |||
219. Escape of Urine from the Umbilicus Due to a Patent Urachus | |||
220. A Patent Urachus with a Penile Projection at the Umbilicus | |||
221. A Ring-shaped Vesical Calculus with a Fine Hair in Its Axis | |||
222. A Partially Patent Urachus | |||
223. A Patent Urachus | |||
224. A Portion of a Urachus Seven Times Enlarged, with Numerous Large and Small Dilatations | |||
225. Portion of a Urachus Ten Times Enlarged | |||
226. Cysts of the Urachus Arranged Like a String of Pearls | |||
227. Spindle-Shaped Dilatations of the Urachus | |||
228. A Small Cyst of the Urachus | |||
229. A Patent Urachus | |||
230. A Multilocular Cyst of the Urachus | |||
231. Section of a Patent Urachus | |||
232. Transverse Section of a Patent Urachus | |||
233. A Small Cyst of the Urachus | |||
234. A Diffuse Neuroma of the Bladder | |||
235. Cut Surface of the Bladder Showing a Diffuse Neuroma of Its Walls | |||
236. A Diffuse Neuroma Forming a Mantle Around the Cavity of the Bladder | |||
237. Diagram Showing the Arrested Development of the Genital Tract and the Relation of the Malformed Parts to the Cyst of the Urachus | |||
237. Diagram Showing the Arrested Development of the Genital Tract and the Relation of the Malformed Parts to the Cyst of the Urachus | |||
238. Section of the Segment of Urachus Which Passed between the Bladder and the Cyst- wall, as Seen under a Low Power 552 | 238. Section of the Segment of Urachus Which Passed between the Bladder and the Cyst- wall, as Seen under a Low Power 552 | ||
239. The Abdominal Contour in a Case of Very Large Urachal Cyst | 239. The Abdominal Contour in a Case of Very Large Urachal Cyst | ||
240. A Urachal Cyst Turned Inside Out and Showing Papillary Masses, Particularly in the Lower Part of the Picture 559 | 240. A Urachal Cyst Turned Inside Out and Showing Papillary Masses, Particularly in the Lower Part of the Picture 559 | ||
241. Infected Urachal Remains | 241. Infected Urachal Remains | ||
242. An Infected Urachus Opening between the Umbilicus and Bladder | 242. An Infected Urachus Opening between the Umbilicus and Bladder | ||
243. Urachal Cyst | 243. Urachal Cyst | ||
244. A Dilated Urachus Communicating with the Bladder | 244. A Dilated Urachus Communicating with the Bladder | ||
245. Large Accumulation of Urine in a Partially Patent Urachus | 245. Large Accumulation of Urine in a Partially Patent Urachus | ||
246. An Infected Urachus Opening at the Umbilicus | 246. An Infected Urachus Opening at the Umbilicus | ||
247. A Patent Urachus Dilated in Its Middle Portion | 247. A Patent Urachus Dilated in Its Middle Portion | ||
248. Accumulation of a Large Quantity of Urine in a Urachal Pouch | 248. Accumulation of a Large Quantity of Urine in a Urachal Pouch | ||
249. Fetal Bones Removed from an Old Extra-uterine Pregnancy Sac | 249. Fetal Bones Removed from an Old Extra-uterine Pregnancy Sac | ||
250. A Phosphatic Deposit on the End of a Long Bone | 250. A Phosphatic Deposit on the End of a Long Bone | ||
251. A Dilated Urachus Communicating with the Bladder | 251. A Dilated Urachus Communicating with the Bladder | ||
252. Urachal Cyst | 252. Urachal Cyst | ||
253. Urachal Cyst | 253. Urachal Cyst | ||
254. Urachal Cyst | 254. Urachal Cyst | ||
255. A Patent Urachus Containing a Vesical Calculus | 255. A Patent Urachus Containing a Vesical Calculus | ||
256. Carcinoma of the Patent Urachus | 256. Carcinoma of the Patent Urachus | ||
257. A Multilocular and Malignant Cyst of the Urachus | 257. A Multilocular and Malignant Cyst of the Urachus | ||
258. Giant-cells in the Wall of an Adenocarcinomatous Cyst of the Urachus | 258. Giant-cells in the Wall of an Adenocarcinomatous Cyst of the Urachus | ||
259. Giant-cells in the Wall of an Adenocarcinoma of the Urachus | 259. Giant-cells in the Wall of an Adenocarcinoma of the Urachus | ||
260. Giant-cells in the Wall of an Adenocarcinomatous Cyst of the Urachus | 260. Giant-cells in the Wall of an Adenocarcinomatous Cyst of the Urachus | ||
261. Adenocarcinoma of the Urachus | 261. Adenocarcinoma of the Urachus | ||
262. A Papillary-like Area | 262. A Papillary-like Area in an Adkxocarcinomatous Cystofthe Urachus | ||
263. Metastasis from Adenocarcinoma of the Urachus | 263. Metastasis from Adenocarcinoma of the Urachus | ||
264. An Umbilical Cyst | 264. An Umbilical Cyst | ||
265. \\ aj.i of an Umbilical Cyst | 265. \\ aj.i of an Umbilical Cyst | ||
266. Giant-cells in the Wall of an Umbilical Cyst | 266. Giant-cells in the Wall of an Umbilical Cyst | ||
267. Tuberculosis of the Urachus | 267. Tuberculosis of the Urachus | ||
268. An Area Suggesting a Tubercle | |||
269. A Tubercle from Dr. Eastman's Case of Tuberculosis of the Urachus | |||
==List of Plates== | ==List of Plates== | ||
[[Book - Umbilicus (1916) Figures#List of Plates|List of Plates]] | |||
# [[:File:Cullen1916 plate01.jpg|Drawings of Normal Umbilici]] | |||
# [[:File:Cullen1916 plate02.jpg|Drawings of Normal Umbilici]] | |||
# [[:File:Cullen1916 plate03.jpg|Drawings of Normal Umbilici]] | |||
# [[:File:Cullen1916 plate04.jpg|Drawings of Normal Umbilici]] | |||
# [[:File:Cullen1916 plate05.jpg|Cancer of the Umbilicus Apparently Secondary to a Tumor of the Ovary]] | |||
# [[:File:Cullen1916 plate06.jpg|Umbilical Hernia]] | |||
# [[:File:Cullen1916 plate07.jpg|Exstrophy of the Bladder]] | |||
{{Cullen1916 footer}} | |||
[[Category:Draft]] |
Latest revision as of 14:27, 28 October 2018
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Cullen TS. Embryology, anatomy, and diseases of the umbilicus together with diseases of the urachus. (1916) W. B. Saunders Company, Philadelphia And London.
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Embryology, Anatomy, and Diseases of the Umbilicus together with Diseases of the Urachus
By
Thomas Stephen Cullen
Associate Professor of Gynecology in the Johns Hopkins University
Assistant Visiting Gynecologist to the Johns Hopkins Hospital
Illustrated By
Max Brodel
W. B. Saunders Company, Philadelphia And London, 1916
This book is affectionately dedicated to my Mother Mary Cullen
Daughter of the late Rev. Thomas and Mary Greene
Born on July 12, 1841, at Polminick, near
Penzance, Cornwall, England
Preface
During the summer of 1904 I saw a case of cancer of the umbilicus with Dr. Jacob L. Winner. Up to that time I had thought that hernia was practically the only lesion to be noted in this locality. The patient did well for a time, but later large intra-abdominal tumors could be felt and finally he died. Xo autopsy was obtained. Histologic examination of the umbilical growth showed that it was an adenocarcinoma.
I was at a loss to explain the presence of glands in this position, and a cursory
examination of the text-books failed to elucidate the matter. I could not rid myself of the desire to find out definitely just how an adenocarcinoma could exist in the
umbilicus, and several years later, when other and more pressing problems had been
completed, I carefully searched the literature for cases of cancer of the umbilicus
and was amazed to find the records of many instances.
In the majority of the cases the umbilical growth was secondary to a cancer of the stomach, gall-bladder, intestine, or ovary. Cases of primary adenocarcinoma and of squamous-cell carcinoma of the umbilicus occur, but they are very rare.
During this study I encountered a wealth of material dealing with the omphalomesenteric duct. We have long been familiar with Meckel's diverticulum, but two facts, that the omphalomesenteric duct may be patent throughout its entire extent at birth, and that remnants of the outer end of the duct may give rise to the small umbilical polyps sometimes noted after the cord drops off, have not been commonly appreciated.
The literature is rich in records of devastating infections that prevailed before the era of asepsis. These occurred generally in hospitals, and most often when an epidemic of puerperal sepsis was rampant among the mothers. The descriptions of some of them are intensely graphic, and from the detailed reports of the individual cases one can obtain a wonderful picture of the terminal infections occurring in these infants.
I found a somewhat extensive literature on dermoids of the umbilicus, but on analyzing the cases was obliged to conclude that the majority of these growths represented nothing more than inflammations due to irritation exerted by an umbilical concretion. It was the presence of caseous material and the admixture of wool from the patient's clothing that had led to the erroneous diagnosis.
I found records of cases of Paget's disease, diphtheria, and syphilis of the umbilicus. There is also an extensive literature on the escape of intra- and extraabdominal fluid, usually pus, through the umbilicus, and many cases of umbilical fistula are recorded.
Many umbilical tumors have been reported, some benign, others malignant. I was especially interested in one group of cases. These tumors were small; they always occurred in women; they tended to swell at the menstrual period, and some urachus have been collected, the cases classified, and the appropriate methods of treatment outlined. I trust that this work may help the general practitioner, the pediatrician, and the surgeon to treat more satisfactorily lesions of this heretofore relatively unknown region, unknown, although up to the daj r of birth it is on the main highway between the mother and the child.
Thomas S. Cullen.
The Johns Hopkins Hospital, May, 1916.
Contents
Umbilicus (1916): 1 Umbilical Region Embryology | 2 Umbilical Region Anatomy | 3 Umbilical New-born Infections | 4 Umbilical Hemorrhage | 5 Umbilicus Granuloma | 6 Omphalomesenteric Duct Remnants | 7 Umbilicus Abnormalities | 8 Meckel's Diverticulum | 9 Intestinal Cysts | 10 Patent Omphalomesenteric Duct 1 | 11 Patent Omphalomesenteric Duct 2 | 12 Bowel Prolapsus at Patent Omphalomesenteric Duct | 13 Abdominal Wall Cysts by Omphalomesenteric Duct Remnants | 14 Omphalomesenteric Vessels Persistence | 15 Umbilical Inflammatory Changes | 16 Subumbilical Space Abscess | 17 Umbilicus Paget's Disease | 18 Umbilicus Infections | 19 Umbilicus Abnormalities 2 | 20 Umbilicus Fecal Fistula | 21 Umbilicus Round Worms | 22 Umbilicus Foreign Substance Escape | 23 Umbilical Tumors | 24 Umbilicus Adenomyoma | 25 Umbilicus Carcinoma | 26 Umbilicus Sarcoma | 27 Umbilical Hernia | 28 The Urachus | 29 Congenital Patent Urachus | 30 Urachus Remnants | 31 Urachal Remnants Producing Tumors | 32 Large Urachal Cysts | 33 Anterior Abdominal Wall Abscesses | 34 Urachal Cavities | 35 Umbilicus Acquired Urinary Fistula | 36 Urachal Concretions and Urinary Calculi | 37 Urachus Malignant Changes | 38 Urachus Bleeding into the Bladder | 39 Patent Urachus Tuberculosis | Figures |
- Embryology of the Umbilical Region
- Anatomy of the Umbilical Region
- Umbilical Infections in the New-born
- Umbilical Hemorrhage
- Granulation Tissue or Granuloma of the Umbilicus
- Remnants of the Omphalomesenteric Duct
- Congenital Polyps; Fistul.e or Cystic Dilatations at the Umbilicus; with a Mucosa More or Less Similar to that of the Pyloric Region of the Stomach, and Secreting an Irritating Fluid Bearing a Marked Resemblance to Gastric Juice. Persistence of the Outer Portion of the Omphalomesenteric Duct
- Meckel's Diverticulum
- Intestinal Cysts
- A Patent Omphalomesenteric Duct
- The Patent Omphalomesenteric Duct (continued)
- Prolapsus of the Bowel through a Patent Omphalomesenteric Duct
- Cysts in the Abdominal Wall Due to Remnants of the Omphalomesenteric Duct
- Persistence of the Omphalomesenteric Vessels
- Umbilical Concretions Associated with Inflammatory Changes in the Abdominal Wall
- Abscess in the Subumbilical Space
- Paget's Disease of the Umbilicus
- Diphtheria of the Umbilicus . Syphilis of the Umbilicus; Tuberculosis of the Umbilicus; Atrophic Tuberculid commencing at the Umbilicus
- The Escape of Retroperitoneal and Abdominal Fluid from the Umbilicus; the Opening of an Appendix Abscess at the Umbilicus. Abscess of the Liver Opening at the Umbilicus; Peritonitis with the Escape of Pus from the Umbilicus; the Piecemeal Removal of a Suppurating Ovarian Cyst through the Umbilicus
- Fecal Fistula at the Umbilicus
- The Escape of Round Worms from the Umbilicus
- The Escape of Various Foreign Substances from the Umbilicus
- Umbilical Tumors
- Adenomyoma of the Umbilicus
- Carcinoma of the Umbilicus
- Sarcoma of the Umbilicus
- Umbilical Hernia
- The Urachus
- Congenital Patent Urachus
- Remnants of the Urachus
- Urachal Remnants Producing Tumors between the Umbilicus and Symphysis
- Large Urachal Cysts
- Abscesses in the Anterior Abdominal Wall between the Umbilicus and Symphysis Due to Infection of Urachal Remains or of Urachal Cysts
- Urachal Cavities between the Symphysis and Umbilicus Communicating with the Bladder or Umbilicus or with Both
- Acquired Urinary Fistula at the Umbilicus
- Urachal Concretions and Urinary Calculi Associated with Urachal Remains
- Malignant Changes in the Urachus
- Bleeding from the Urachus into the Bladder
- Tuberculosis of the Patent Urachus
List of Illustrations
1. Sagittal Section Showing a Very Early Stage in the Formation of the Umbilicus and allantois
2. A More Advanced Stage in the Formation of the Umbilical Region
3. A Composite Picture Showing the Formation of the Umbilicus in an Embryo
4. A Diagrammatic Representation of a Human Embryo, about 3.5 mm. Long, Showing the Effect of the Expanding Amnion upon the Yolk-sac and Body-stalk
5. Sagittal View of a Human Embryo 5 mm. in Length
6. Anterior View and Transverse Section of a Human Embryo 7 mm. Long, Showing the Umbilical Region
7. Sagittal Section of the Umbilical Region in an Embryo 7 mm. in Length
8. Sagittal View of the Umbilical Region of a Human Embryo 10 mm. in Length
9. Graphic Reconstruction of the Umbilical Cord of a Human Embryo 12.5 mm. in Length
10. Anterior View of the Umbilical Cord of a Human Embryo 18 mm. in Length
11. Sagittal Section of the Umbilical Region in a Human Embryo 23 mm. in Length
12. A Graphic Reconstruction of the Umbilical Region of a Human Embryo 3 cm. Long
13. Sagittal Section of the Umbilical Region in a Human Embryo 4.5 cm. in Length
14. A Graphic Reconstruction of the Umbilical Region of a Human Embryo 4.5 cm in Length as Viewed from within the Abdomen
15. Sagittal View of a Graphic Reconstruction of the Umbilical Region of a Human Embryo 5.2 cm. in Length 15
16. Intra-abdominal View of the Umbilical Region of a Human Embryo 6.5 cm. in Length
17. Intra-abdominal View of the Umbilical Region in a Human Embryo 7.5 cm. Long
18. Intra-abdominal View of the Umbilical Region in a Human Embryo 9 cm. in Length
19. Intra-abdominal View of the Umbilical Region in a Human Embryo 10 cm. in Length
20. Intra-abdominal View of the Umbilical Region in a Human Embryo 12 cm. Long
21. Intra-abdominal View of the Umbilical Region in a Human Embryo 12 cm. in Length
22. Intra-abdominal View of the Umbilical Region in a Human Embryo 12 cm. in Length
23. Cross-section of the Umbilical Cord at the Umbilicus in a Human Embryo 12 cm. in Length
24. Internal View of the Umbilical Region in a Human Embryo 15 cm. Long
25. A Composite Representation of Abnormal Umbilical Structures, Based on the Work of Keibel, Lowy, and Others
26. A Composite Representation of Abnormal Umbilical Structures, Based on the Work of Keibel, Lowy, and Others
27. A Composite Representation of Abnormal Umbilical Structures, Based on the Work of Keibel, Lowy, and Others
28. The Umbilical Region in a Fetus about Five Months Old Viewed from the Left
29. Side and Posterior Views of the Umbilical Region in a Fetus of Six to Seven Months
30. Three Diagrams of the Umbilical Ring and Its Significance in the Development of Ventral Hernia
31. The Appearance of the Yolk-sac (Umbilical Vesicle) in a Pregnancy, with the Embryo 5.5 cm. Long
32. The Umbilical Region, the Cord, and the Placenta at Term
33. A Diagrammatic Representation of the Umbilical Region of a Fetus at Term
34. Normal Umbilicus according to Catteau
35. A Type of Umbilical Region in the Adult, Viewed from Within
36. A Frequent Type of the Umbilical Region in the Adult, Viewed from Within
37. The Umbilical Region of an Adult, Viewed from Within
38. Classic Type of Umbilicus
39. Disposition of the Vascular Cords (Usual Type)
40. Vascular Cords of the Anastomosing Type, Noted 7 Times in 50 Cases
41. Vascular Cord Type, Noted 5 Times in 50 Cases
42. Vascular Cords, Noted 5 Times in 50 Cases, Completely Filling the Umbilical Ring
43. Vascular Cords, Noted 3 Times in 50 Cases
44. Vascular Cords, Noted in 2 out of 50 Cases
45. Umbilical Fascia. Peritoneum in Place
46. Umbilical Fascia and Umbilical Mesentery
47. Reduplication of the Linea Alba. Peritoneum Removed
48. Atrophy of the Umbilical Fascia, Posterior View
49. Formation of a Mesentery. Peritoneum in Place
50. Mesentery of the Urachus and of the Umbilical Arteries
51. Adipose Fringes. From a Well-developed Young Woman. Peritoneum in Place
52. Adipose Fringes in a Stout Subject. Peritoneum in Place
53. Peritoneal Diverticula. Peritoneum in Place
54. Peri-umbilical Fossettes. Peritoneum in Place
55. Ovarian Pedicle Passing from Uterus out through a Hernial Ring in the Abdominal Wall
56. Extra-abdominal Multilocular Fibrocystoma of the Ovary
57. An Extra- abdominal Multilocular Fibrocystoma
58. Superficial Lymphatics of the Umbilical Region
59. The Deep Umbilical Lymphatics as Seen from the Peritoneal Side
60. The Umbilical Vessels about the Time of Birth
61. The Umbilical Vessels in the Adult
62. 63. Method of Treating the Umbilical Stump at Birth
64. Nature's Method of Checking Bleeding from the Umbilical Arteries
65. An Umbilical Granulation
66. The Gradual Atrophy of the Omphalomesenteric Duct
67. An Umbilical Polyp Connected with Meckel's Diverticulum by a Fibrous Cord
68. An Umbilical Polyp Attached to the Small Bowel by a Fibrous Cord
69. An Umbilical Polyp on the Prominent Part of an Umbilical Hernia
70. A Polypoid Outgrowth from the Umbilicus
71. Tubular Glands from the Umbilical Polyp Shown in Fig. 70
72. A Diverticular Tumor at the Umbilicus
73. A Glandular Tumor from the Umbilicus
74. A Glandular Growth at the Umbilicus
75. Section in the Long Axis of a Small Umbilical Growth
76. Adenoma of the Umbilicus
77. Ax Umbilical Polyp Attached to a Meckel's Diverticulum by a Fibrous Cord
78. Ax Umbilical Polyp Attached to a Meckel's Diverticulum by a Fibrous Cord
79. An Umbilical Polyp
80. A Small Intestinal Polyp Almost Fillingthb Umbilical Depression
81. An Umbilical Polyp
82. Portion of an Intestinal Polyp Partially Filling the Umbilical Depression
83. Transverse Section op a Pseudopyloric Congenital Fistula at the Umbilicus
84. High-power Picture op a Fistulous Tract at the Umbilicus, Showing Glands Resembling those of the Pylorus
85. An Umbilical Fistula Lined with Mucosa Resembling that of the Stomach
86. Appearance of the Umbilical Depression in von Rosthorn's Case
87. Gastric Mucosa at the Umbilicus
88. Appearance of the Umbilicus After Removal of the Stomach Mucosa Seen in Fig. 87
89. Persistence of the Outer End of the Omphalomesenteric Duct
90. Atrophy of the Inner End of the Omphalomesenteric Duct
91. A Long Umbilical Polyp as a Remnant of the Omphalomesenteric Duct
92. Meckel's Diverticulum
93. A Meckel's Diverticulum Attached to the Abdominal Wall at the Umbilicus
94. An Abnormally Large Meckel's Diverticulum
95. A Meckel's Diverticulum with a Lobulated Extremity
96. A Meckel's Diverticulum with Hernial Protrusions from Its Surface
97. A Short Meckel's Diverticulum Springing from the Mesenteric Attachment
98. An Accessory Pancreas in the Tip of Meckel's Diverticulum
99. A Meckel's Diverticulum Completely Tying off a Loop of Small Bowel
100. A Diverticulum Tying Off a Loop of Small Bowel
101. Strangulation of a Meckel's Diverticulum Causing Volvulus of the Ileum
102. Fatal Intestinal Obstruction Due to the Passage of the Bowel through a Hole in the Mesentery of a Meckel's Diverticulum
103. Inversion of a Meckel's Diverticulum into the Lumen of the Bowel
104. A Well-developed Loop of Small Bowel in a Dermoid Cyst of the Ovary
105. An Intestinal Cyst
106. An Intestinal Cyst Attached to the Umbilicus by a Pedicle but not Connected with the Bowel
107. Volvulus of Meckel's Diverticulum
108. An Intestinal Cyst Developing from Meckel's Diverticulum
109. Intestinal Cysts in the Abdominal Cavity
1 10. An Intramesenteric Cyst
111. A Patent Omphalomesenteric Duct
112. A Patent Omphalomesenteric Duct with a Polypoid Formation at the Umbilicus
113. A Very Short Omphalomesenteric Duct
114. A Patent Omphalomesenteric Duct with a Polyp-like Formation at the Umbilicus
1 15. A Patent Omphalomesenteric Duct
116. A Patent Omphalomesenteric Duct
117. A Patent Omphalomesenteric Duct
118. A Patent Omphalomesenteric Duct
119. A Patent Omphalomesenteric Duct
120. A Patent Omphalomesenteric Duct
121. A Patent Omphalomesenteric Duct
122. Part of a Patent Omphalomesenteric Duct
123. Intestinal Mucosa Covering the Cutaneous or Umbilical End of a Patent Omphalomesenteric Duct
124. An Umbilical Polyp and a Fibrous Nodule at the Umbilicus. There was Originally a Patent Omphalomesenteric Duct
125. Longitudinal Section through the Entire Center of a Partially Closed Omphalomesenteric Duct
126. A Patent Omphalomesenteric Duct
127. A Patent Omphalomesenteric Duct Opening at the Base of the Umbilical Cord
128. A Patent Omphalomesenteric Duct
129. A Patent Omphalomesenteric Duct as Seen from the Abdominal Cavity
130. Inversion of the Bowel through a Patent Omphalomesenteric Duct Opening on the Side of the Umbilical Cord
131. A Patent Omphalomesenteric Duct of Large Diameter
132. Commencing Prolapsus of Small Bowel through a Patent Omphalomesenteric Duct
133. Partial Prolapsus of the Small Bowel through the Omphalomesenteric Duct
134. Prolapsus of the Small Bowel through the Patent Omphalomesenteric Duct
135. Complete Prolapsus of the Bowel through the Patent Omphalomesenteric Duct
136. Prolapsus of the Small Bowel through the Patent Omphalomesenteric Duct, and an Umbilical Hernia between the Loops of Prolapsed Bowel
137. Prolapse of the Small Bowel through an Open Omphalomesenteric Duct
138. Prolapsus of the Bowel through a Patent Omphalomesenteric Duct
139. Prolapsus of the Bowel through a Patent Omphalomesenteric Duct, with Secondary Complications
140. Prolapsus and Inversion of the Intestine through a Patent Omphalomesenteric Duct
141. Prolapsus of the Bowel through the Patent Omphalomesenteric Duct
142. A Small Cyst of the Umbilicus Due to a Remnant of the Omphalomesenteric Duct
143. Small Cyst of the Abdominal Wall Due to a Remnant of the Omphalomesenteric Duct
144. A Small Intestinal Cyst Lying between the Peritoneum and the Recti
145. An Omphalomesenteric Duct Originating from the Concave Side of the Bowel and Attached to the Umbilicus by a Fibrous Cord
146. A Remnant of an Omphalomesenteric Duct Causing Fatal Intestinal Obstruction
147. A Small Umbilical Concretion
148. Acute Inflammation of the Umbilicus Due to an Accumulation of Sebaceous Material
149. Cholesteatoma from the Umbilicus in Case 1
150. Cholesteatoma from Case 2
151. A Connective-tissue Projection Really Representing a Small Fibroma in the Floor of the Umbilicus
152. Enlargement of Fig. 151
153. Subumbilical Phlegmon
154. The Subumbilical Space
155. Paget's Disease of the Umbilicus
156. Paget's Disease of the U/mbilicus
157. Paget's Disease of the Umbilicus
158. Paget's Disease of the Umbilicus
159. The Appearance in a Case of Paget's Disease of the Umbilicus After Treatment with Radium
160. Syphilis of the Umbilicus
161. Atrophic Tuberculid Starting at the Umbilicus
162. Leakage from an Abdominal Aneurysm Producing a Temporary Abdominal Tumor; Subsequent Escape of the Blood into the Right Renal Pocket
163. The Manner in Which a Periprostatic Abscess may Occasionally Rupture at the Umbilicus
164. Escape of Pleural Fluid from the Umbilicus
165. The Opening of a Broad Ligament Abscess at the Umbilicus
166. Abdominal Pregnancy with Spontaneous Escape of Liquor Amnii from the Umbilicus
167. Small Papilloma in the Umbilical Depression
168. A Shall Umbilical Tumor Containing Glands and Stroma Identical with Those of the Uterine Mucosa
169. Glands from a Small Umbilical Tumor
170. Typical Uterine Mucosa in a Small Umbilical Tumor. An Enlargement of Area B in Fig. 168
171. Glands in a Small Umbilical Tumor
172. Dilated Glands in a Small Umbilical Tumor
173. Dichotomous Branching of Glands in a Small Umbilical Tumor
174. Uterine Glands in an Umbilical Tumor
175. Gland Hypertrophy in a Small Umbilical Tumor
176. A Tumor of the Umbilicus Composed Partly of Hypertrophic Sweat-glands
177. Uterine Mucosa in an Umbilical Tumor
178. A Small Umbilical Tumor Containing Numerous Glands
179. Glands in a Small Umbilical Tumor
180. An Adenomyoma in the Abdominal Wall Near the Anterior Iliac Spine
181. A Small Umbilical Tumor Containing Glands Similar to Those of the Body of the Uterus
182. Adenomyoma of the Umbilicus
183. A Group of Sweat-glands in an Umbilical Tumor
184. Appearance of the Carcinomatous Umbilicus After Removal
185. Carcinoma of the Umbilicus Secondary to Carcinoma of the Ovaries
186. A Malignant Growth of the Umbilicus, Apparently a Carcinoma Secondary to Some Abdominal Growth
187. Adenocarcinoma of the Umbilicus Secondary to an Intra-abdominal Growth
188. Adenocarcinoma of the Umbilicus
189. A Section Showing Carcinoma of the Right Inguinal Glands
190. Secondary Carcinoma of the Umbilicus
191. Telangiectatic Myxosarcoma of the Umbilicus
192. Appearance of the Umbilicus After Removal of the Tumor Shown in Fig. 191
193. Myxosarcoma of the Umbilicus
194. Telangiectatic Myxosarcoma Projecting from the Right Side of the Umbilicus
195. A Telangiectatic Myxosarcoma
196. A Case of Congenital Umbilical Hernia
197. An Amniotic Hernia
198. Several Loops of Bowel Which Lay Outside the Umbilicus and were Nipped Off During Fetal Life. The Child Lived a Short Time After Birth
199. A Serous Umbilical Hernia
200. Freeing the Umbilical Hernial Sac from the Abdomen
201. Closure of the Hernial Opening at the Umbilicus
202. Closure of the Hernial Opening at the Umbilicus
203. An Umbilical Hernia Associated with Marked Prolapsus of the Abdominal Wall
204. An Umbilical Hernia and a Markedly Pendulous Abdomen in a Patient Weighing 464 Pounds
205. The Abdominal Scar After the Removal of a Very Large Area of Fat
206. An Umbilical Cyst
207. Exstrophy of the Bladder Opening at or Near the Umbilicus
208. Exstrophy of the Bladder. A side View of the Case Depicted in Fig. 207, Showing the Relative Distance from the Symphysis to the Opening in the Abdominal Wall
209. Exstrophy of the Bladder
210. Escape of Urine from the Umbilicus When the Inner Urethral Orifice Is Blocked by a Membrane
211. A Patent Urachus with a Mushroom-like Projection at the Umbilicus
212. A Patent Urachus with a Penile Projection at the Umbilicus
213. The Appearance of the Umbilicus in a Case in Which both a Patent Omphalomesenteric Duct and a Patent Urachus Existed
214. Cross-section of the Patent Omphalomesenteric Duct and of the Patent Urachus in the Same Child
215. A Picture of the Child Three Weeks After Removal of a Patent Omphalomesenteric Duct and a Patulous Urachus
216. A Patent Urachus
217. A Urachus Open from Bladder to Umbilicus
218. An Open Urachus
219. Escape of Urine from the Umbilicus Due to a Patent Urachus
220. A Patent Urachus with a Penile Projection at the Umbilicus
221. A Ring-shaped Vesical Calculus with a Fine Hair in Its Axis
222. A Partially Patent Urachus
223. A Patent Urachus
224. A Portion of a Urachus Seven Times Enlarged, with Numerous Large and Small Dilatations
225. Portion of a Urachus Ten Times Enlarged
226. Cysts of the Urachus Arranged Like a String of Pearls
227. Spindle-Shaped Dilatations of the Urachus
228. A Small Cyst of the Urachus
229. A Patent Urachus
230. A Multilocular Cyst of the Urachus
231. Section of a Patent Urachus
232. Transverse Section of a Patent Urachus
233. A Small Cyst of the Urachus
234. A Diffuse Neuroma of the Bladder
235. Cut Surface of the Bladder Showing a Diffuse Neuroma of Its Walls
236. A Diffuse Neuroma Forming a Mantle Around the Cavity of the Bladder
237. Diagram Showing the Arrested Development of the Genital Tract and the Relation of the Malformed Parts to the Cyst of the Urachus
238. Section of the Segment of Urachus Which Passed between the Bladder and the Cyst- wall, as Seen under a Low Power 552
239. The Abdominal Contour in a Case of Very Large Urachal Cyst
240. A Urachal Cyst Turned Inside Out and Showing Papillary Masses, Particularly in the Lower Part of the Picture 559
241. Infected Urachal Remains
242. An Infected Urachus Opening between the Umbilicus and Bladder
243. Urachal Cyst
244. A Dilated Urachus Communicating with the Bladder
245. Large Accumulation of Urine in a Partially Patent Urachus
246. An Infected Urachus Opening at the Umbilicus
247. A Patent Urachus Dilated in Its Middle Portion
248. Accumulation of a Large Quantity of Urine in a Urachal Pouch
249. Fetal Bones Removed from an Old Extra-uterine Pregnancy Sac
250. A Phosphatic Deposit on the End of a Long Bone
251. A Dilated Urachus Communicating with the Bladder
252. Urachal Cyst
253. Urachal Cyst
254. Urachal Cyst
255. A Patent Urachus Containing a Vesical Calculus
256. Carcinoma of the Patent Urachus
257. A Multilocular and Malignant Cyst of the Urachus
258. Giant-cells in the Wall of an Adenocarcinomatous Cyst of the Urachus
259. Giant-cells in the Wall of an Adenocarcinoma of the Urachus
260. Giant-cells in the Wall of an Adenocarcinomatous Cyst of the Urachus
261. Adenocarcinoma of the Urachus
262. A Papillary-like Area in an Adkxocarcinomatous Cystofthe Urachus
263. Metastasis from Adenocarcinoma of the Urachus
264. An Umbilical Cyst
265. \\ aj.i of an Umbilical Cyst
266. Giant-cells in the Wall of an Umbilical Cyst
267. Tuberculosis of the Urachus
268. An Area Suggesting a Tubercle
269. A Tubercle from Dr. Eastman's Case of Tuberculosis of the Urachus
List of Plates
- Drawings of Normal Umbilici
- Drawings of Normal Umbilici
- Drawings of Normal Umbilici
- Drawings of Normal Umbilici
- Cancer of the Umbilicus Apparently Secondary to a Tumor of the Ovary
- Umbilical Hernia
- Exstrophy of the Bladder
Umbilicus (1916): 1 Umbilical Region Embryology | 2 Umbilical Region Anatomy | 3 Umbilical New-born Infections | 4 Umbilical Hemorrhage | 5 Umbilicus Granuloma | 6 Omphalomesenteric Duct Remnants | 7 Umbilicus Abnormalities | 8 Meckel's Diverticulum | 9 Intestinal Cysts | 10 Patent Omphalomesenteric Duct 1 | 11 Patent Omphalomesenteric Duct 2 | 12 Bowel Prolapsus at Patent Omphalomesenteric Duct | 13 Abdominal Wall Cysts by Omphalomesenteric Duct Remnants | 14 Omphalomesenteric Vessels Persistence | 15 Umbilical Inflammatory Changes | 16 Subumbilical Space Abscess | 17 Umbilicus Paget's Disease | 18 Umbilicus Infections | 19 Umbilicus Abnormalities 2 | 20 Umbilicus Fecal Fistula | 21 Umbilicus Round Worms | 22 Umbilicus Foreign Substance Escape | 23 Umbilical Tumors | 24 Umbilicus Adenomyoma | 25 Umbilicus Carcinoma | 26 Umbilicus Sarcoma | 27 Umbilical Hernia | 28 The Urachus | 29 Congenital Patent Urachus | 30 Urachus Remnants | 31 Urachal Remnants Producing Tumors | 32 Large Urachal Cysts | 33 Anterior Abdominal Wall Abscesses | 34 Urachal Cavities | 35 Umbilicus Acquired Urinary Fistula | 36 Urachal Concretions and Urinary Calculi | 37 Urachus Malignant Changes | 38 Urachus Bleeding into the Bladder | 39 Patent Urachus Tuberculosis | Figures |
Reference
Cullen TS. Embryology, anatomy, and diseases of the umbilicus together with diseases of the urachus. (1916) W. B. Saunders Company, Philadelphia And London.
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Cite this page: Hill, M.A. (2024, June 3) Embryology Book - Umbilicus (1916). Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Book_-_Umbilicus_(1916)
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