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
1. The portion of the gland adjacent to the duodenum, corresponding to
the "head" of the human organ, is included between the two layers of
the mesoduodenum. This membrane is free, so that the dorsal surface of
this portion of the pancreas is seen to be invested by the dorsal layer
of the mesoduodenum (Fig. 223). The duodenum and the mesoduodenum, the
latter containing the head of the pancreas between its layers, can be
turned toward the median line, so as to expose the entire ventral
surface of the post-cava and right kidney. To illustrate the arrangement
which is found in the adult human subject the descending duodenum and
pancreas should be allowed to fall over to the right so as to cover the
vena cava and the mesal part of the ventral surface of right kidney. The
adult human condition will now be produced if we assume that the
structures are fixed in this position by the obliteration of the apposed
serous surfaces, viz., the parietal peritoneum over kidney and vena cava
on the one hand and the right layer of the mesoduodenum and the dorsal
visceral peritoneum of the duodenum on the other.
[Illustration: FIG. 223.--Abdominal viscera of cat, hardened and removed
from body, showing relation of pancreas to mesoduodenum and dorsal
mesogastrium, respectively. (Columbia University Museum, No. 728.)]
2. In following out the pancreas of the cat in its entire extent,
proceeding to the left of the pylorus, it will be seen that the body of
the gland has extended between the two dorsal layers of the great
omentum (primitive dorsal mesogastrium) over to the spleen (Fig. 223).
Consequently the arrangement in the cat corresponds to the stage in the
human development shown in Fig. 219 and Fig. 221 in which adhesion of
the dorsal surface of the pancreas to the parietal peritoneum has not
yet taken place.
It will be quite easy to reconstruct from the facts as demonstrated by
the arrangement of the parts in the cat, the stage in the development of
the lesser peritoneal sac in which the dorsal wall of the space is still
formed by the proximal portion of the free dorsal mesogastrium (great
omentum) and the structures included between its two layers.
It must then become apparent that the entire serous surface which in the
adult human subject we regard as "parietal peritoneum of the lesser sac"
lining the dorsal wall of the retrogastric space is derived from what
originally was the right layer of the primitive sagittal dorsal
mesogastrium.
II. RELATION OF GREAT OMENTUM TO TRANSVERSE COLON, TRANSVERSE MESOCOLON
AND THIRD PART OF DUODENUM.
The second purpose to be accomplished by the study of the cat's
abdominal cavity at this stage is the correct appreciation of the adult
human conditions which are produced by areas of adhesion between the
transverse colon, transverse mesocolon and third part of the duodenum on
the one hand, and the dorsal mesogastrium, as great omentum, with the
structures contained between its layers, on the other.
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