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March 1932


Author Affiliations

From the Cleveland Clinic.

Arch Surg. 1932;24(3):411-425. doi:10.1001/archsurg.1932.01160150074002

Diseases and abnormalities of the large intestine are far too numerous to be described in one paper; I shall discuss, therefore, only the more common conditions that may be encountered in the routine examination of the gastro-intestinal tract.

The normal contour and position of the colon, as well as many of the abnormal positions that it may assume, are familiar to all physicians. It may not be so well known, however, that a transverse colon that crosses the upper part of the abdomen is more or less rare. In the majority of cases, one finds that the colon falls well below the umbilicus, and it is not unusual to find a transverse colon with its midpoint below the urinary bladder. In many cases the rotation of the colon is incomplete; frequently the embryonic stage is not fully resolved. The normal sigmoid flexure is generally from 16 to 17 inches long

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