The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative AnatomyHuntington, George S. (George Sumner)
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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. Figs. 225, 3; 226, 3, between the intermediate omental layers,
forming the secondary caudal limit of the lesser sac.
These changes consequently result in the rearrangement of the adult
human peritoneum in accordance with the following schema (Fig. 226):
We trace the peritoneum as the ventral or superficial layer of the great
omentum from the greater curvature of the stomach caudad around the
distal free edge of the omentum and cephalad, as the dorsal layer, to
the ventral border of the transverse colon. Here apparently this layer
is continued across the caudal surface of the large intestine and beyond
as the caudal layer of the transverse mesocolon. While this condition
obtains practically in the adult it is to be remembered that the
adhesion (at 1 in Fig. 225) prevents us from lifting the omentum away
from the colon, and that consequently the apparent continuity of the
dorsal layer of the great omentum with the caudal layer of the
transverse mesocolon is the result of this peritoneal fusion.
Near the dorsal attachment or "root" of the transverse mesocolon the
caudal layer of the membrane becomes continuous with the parietal
peritoneum investing the transverse portion of the duodenum on its
ventral aspect, which peritoneum in turn passes into the free mesentery
of the jejuno-ileum (Fig. 225, 2). Comparison with the previous figures
will show that we are dealing here with another area of secondary
peritoneal fusion.
If we now open the "lesser peritoneal cavity" by dividing the two layers
of the omentum attached to the greater curvature of the stomach (Figs.
225 and 226 in direction of arrow) we will apparently reach the upper or
cephalic surface of the transverse mesocolon. This layer can be followed
dorsad to the sharp border which separates the ventral and caudal
surfaces of the pancreatic body and the membrane can be traced thence
over the ventral surface of the gland to the diaphragm. (The connections
with the liver and stomach shown schematically in the diagram (Fig. 225)
are to be considered in detail subsequently.)
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