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
Wherever in this discussion of the transverse mesocolon the transition
between the caudal layer of the membrane and the "parietal" peritoneum
is referred to it is necessary to remember that this "parietal"
peritoneum is the _secondary_ investment of the abdominal background,
formed by the surface of the ascending and descending mesocolon which
remains free after the opposite surface and the vertical segments of the
large intestine have been anchored by adhesion to the _primary_ parietal
peritoneum (cf. p. 81, Fig. 158).
A summary at this point of the course of the dorsal mesogastrium, in
forming the great omentum and its subsequent connections, would show us
that the membrane first enlarges and descends towards the transverse
colon (Fig. 177). The omental bag is formed by the descending or
superficial segment (starting from the greater curvature of the
stomach), turned toward the observer in the figure, and by the ascending
or deep layer which is attached above to the dorsal abdominal wall, in
front of the vertebral column and aorta along the original line of
origin of the dorsal mesogastrium. Gradually growing and descending
further, the deep segment becomes attached to the transverse colon. It
also becomes connected, especially on the left side, with the
diaphragmatic peritoneum (phrenicocolic lig.), so that its original
starting point is no longer distinct. Finally the development of the
spleen and pancreas between the layers of the dorsal segment and their
subsequent connections obscure the original conditions.
Fig. 297 shows the primitive condition at a time when the connection
with the transverse colon and mesocolon has not yet taken place.
The omental bag or bursa epiploica develops in the region of the dorsal
mesogastrium and the viscera included between its layers, by changes in
the position and extent of the membrane which finally result in placing
a part of the right half of the primitive coelom cavity behind the
stomach. Up to the sixth week the line of origin of the dorsal
mesogastrium is from the mid-dorsal line of the abdomen. It deviates
from this origin to the left because the great curvature of the stomach
to which it is attached turns in this direction. On this account, and
because of the rapid growth of this portion of the mesogastrium, a bag
or space is formed behind the stomach. The entrance into this space is
situated to the right of the lesser curvature, behind the peritoneal
layers connecting the same with the liver (lesser or gastro-hepatic
omentum and hepato-duodenal ligament). The ventral wall of this space is
formed by the dorsal surface of the stomach itself, the dorsal wall by
the mesogastrium, turning to the left and presenting its original right
surface, now directed ventrad. The caudal limit of the retro-gastric
space is given by the turn of the mesogastrium to reach its attachment
along the greater curvature of the stomach (rudiment of great omentum).
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