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
Perform the manipulations of the large and small intestine in the cat
(see p. 67) which are required in order that the tract may be arranged
so that it will correspond in general to the topographical conditions
presented by the adult human subject. Locate the transverse colon and
mesocolon and the third portion of the duodenum produced by these
manipulations in imitation of the corresponding human structures. Then
proceed to plot the different parts out successively as they would
appear in a sagittal section (Fig. 224).
[Illustration: FIG. 224.--Schematic sagittal section of abdominal
viscera of cat, after the intestines have been rotated to correspond to
the adult human disposition, to show lines of peritoneal reflection
before adhesion.]
The following facts are to be noted and indicated on the plan of the
section:
1. The great omentum is free, hanging down from the greater curvature of
the stomach over the coils of intestine. Turning the omentum up it will
be observed that the body of the pancreas is included between the two
dorsal layers of the membrane.
2. The omentum, containing the pancreas, can be lifted up, exposing the
next succeeding structure, viz., the transverse colon and mesocolon. In
the cat the large intestine has been brought over, by the manipulations
above indicated, into a transverse position so as to represent the human
transverse colon and its mesocolon. It is therefore necessary to
remember that in this mammal the fixation of the transverse mesocolon in
the position indicated, by adhesion of ascending and descending mesocola
to the parietal peritoneum of the abdominal background, has not yet
occurred. Consequently the membrane must be held in the transverse
position in order to represent the human arrangement.
It will of course be observed that both surfaces of the transverse
mesocolon established in this way are free, not adherent to either
omentum or pancreas on the one hand, nor to the transverse duodenum on
the other.
3. The third or transverse portion of the duodenum is seen to be
attached by the distal part of the mesoduodenum, both of the serous
surfaces of the membrane being free. The duodenum having been brought
from right to left transversely across vertebral column and aorta,
underneath the superior mesenteric artery, the mesoduodenum, in the
segment corresponding to the transverse duodenum, exchanges its original
sagittal position for one in a horizontal plane, with cephalic
(primitive left) and caudal (primitive right) surfaces.
Now compare the above arrangement of the intestines and peritoneum in
the cat at once with the conditions presented in the adult human
subject, reserving certain intermediate stages, as exhibited by some of
the lower monkeys, for subsequent study.
[Illustration: FIG. 225.--The same figure indicating the areas of
adhesion and peritoneal obliteration (shaded) which produce the
arrangement of the adult human peritoneum.
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