The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative AnatomyHuntington, George S. (George Sumner)
Science
The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative Anatomy
Huntington, George S. (George Sumner)
Abdomen; Peritoneum
3. The ventral surface of the body of the pancreas is in the adult lined
by peritoneum of the "lesser sac"; in other words the organ has
practically assumed a "retro-peritoneal" position, its ventral
peritoneal covering appearing now as the dorsal parietal peritoneum of
the retro-gastric space.
4. When completely developed the extreme end (tail) of the pancreas
extends to the left, following the splenic artery, until it touches the
mesal aspect of the spleen at the hilus.
5. If we, therefore, leave out of consideration for the moment the
transverse colon and duodenum, which will be taken up presently, and
confine ourselves to the arrangement of the stomach, pancreas and great
omentum, a sagittal section to the left of the median line would result
as shown in Fig. 222, after the adult condition of adhesion has been
established.
The same process of fixation, which resulted in the anchoring of
duodenum and head of pancreas, extends to the body of the gland and the
investing omentum. The peritoneum lining the original left, now the
dorsal surface of the gland, fuses with the primitive parietal
peritoneum covering the diaphragm and the left kidney. The main body of
the pancreas in the adult appears prismatic, giving a triangular
sagittal section. The dorsal surface is adherent to the ventral surface
of the left kidney; the ventral surface is covered by the secondary
parietal peritoneum (original right layer of mesogastrium) which lines
the dorsal wall of the retrogastric space and omental bursa (lesser
peritoneal sac). The great omentum now appears to take its dorsal point
of departure along the sharp margin which separates this ventral surface
of the pancreas from a third narrower surface directed caudad. This
surface, under the conditions which we are at present examining, would
be lined by the peritoneum continued onto it from the dorsal layer of
the great omentum. This peritoneum merges along the dorsal margin of
this caudal surface of the pancreas with the general parietal peritoneum
covering the left lumbar region and the caudal part of ventral surface
of the left kidney. We have, therefore, along this line a secondary
transition from visceral to parietal peritoneum, obtained by the
obliteration of the original visceral peritoneum investing the dorsal
surface of the pancreas before adhesion to the parietal peritoneum.
The pancreas assumes, therefore, in the adult a secondary
retro-peritoneal position, covered on its ventral surface by peritoneum
of the "lesser sac," while the caudal surface is lined by part of the
general peritoneal membrane of the "greater sac." The dorsal surface,
denuded of serous covering by obliteration, is adherent to the crura of
the diaphragm, the aorta and the ventral surface of the left kidney.
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