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
The stomach, in contributing to produce these changes, passes from the
vertical to the oblique and finally into the transverse position. The
pylorus, formerly directed caudad, passes up and to the right. The
fundus develops and the original left side of the stomach becomes the
ventral, the right side the dorsal. The original dorsal border, now the
greater curvature, moving caudad, carries the attached dorsal
mesogastrium with it into its new position. The mesogastrium now pouches
to form the great omentum and rapidly enlarges. At first hardly
projecting beyond the greater curvature, it increases in length until it
forms a four-layered apron which hangs down as a loose sac over the
transverse colon and the coils of the small intestine (Fig. 177). In the
foetus of six months the cavity of the omental bag extends caudad as far
as the lower edge of the omentum. Later adhesions between the peritoneal
surfaces lining the interior of the bursa limit this extension.
The omental bursa is therefore formed by a ventral lamella, consisting
of two peritoneal layers, which hangs down from the greater curvature of
the stomach and passes around the caudal free edge of the omentum into
the double-layered dorsal lamella, which ascends, over the transverse
colon, to the original starting point of the dorsal mesogastrium along
the front of the vertebral column and aorta. Hence the "great omentum"
is originally composed of four layers of peritoneum.
The dorsal double lamella becomes adherent over a considerable area to
the parietal peritoneum of the dorsal abdominal wall. In this way the
organs developed between the two layers of the lamella obtain their
final fixed position. The pancreas becomes anchored and appears in the
adult as a "retro-peritoneal" structure, while the spleen is attached by
the "phrenico-lienal ligament" to the diaphragm.
In addition the dorsal omental lamella adheres in the fourth month to
the cephalic layer of the transverse mesocolon and to the transverse
colon.
Important illustrations of some of the intermediate stages in the human
development of this portion of the peritoneal tract are afforded by the
permanent adult conditions found in the abdominal cavity of some of the
lower primates, notably certain of the cynomorphous monkeys.
[Illustration: FIG. 227.--Abdominal cavity of _Macacus rhesus_, Rhesus
monkey, with the small intestine removed. (Columbia University Museum,
No. 63/1831.)]
Fig. 227 shows the abdominal cavity and disposition of the peritoneum in
a macaque monkey (_Macacus rhesus_, male) in the ventral view, with the
coils of small intestines removed and the omentum lifted up and
reflected upon the ventral body wall. The following important points of
difference from the arrangement in the _cat_ on the one hand, and in
_man_ on the other, are to be noted:
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