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 large intestine presents the typical primate course, with an
ascending, transverse and descending colon. The ileo-caecal junction is
situated in the right iliac fossa.
2. The ascending and descending mesocola are still _free_, not having
become adherent to the parietal peritoneum along the dorsal abdominal
wall. Hence the caudal portions of the ventral surfaces of the two
kidneys are still covered by the _primitive parietal peritoneum_.
3. The great omentum is not yet adherent to the transverse colon and
mesocolon except for a short distance on the extreme right. At this
point the dorsal layer of the omentum has begun to contract adhesions to
the hepatic flexure of the colon and ascending colon, but the rest of
the transverse colon is free. Differing from the human arrangement is a
line of adhesion, uniformly present in these monkeys, between the dorsal
surface of the omentum along its right edge and the ventral
surface and right border of the _caecum_ and _ascending colon_, parts
which normally are not adherent to the omentum in man.
4. Hence in tracing the omentum to the left of the limited adhesion to
the hepatic flexure and ascending colon, _i. e._, nearly throughout the
entire extent of the transverse colon, we find the membrane passing
freely without adhesion over the cephalic surface of the transverse
mesocolon, which preserves its original free condition, independent of
the omentum. This arrangement is shown in the schematic sagittal section
in Fig. 230.
5. Tracing the omentum dorsad beyond the transverse colon and mesocolon
the pancreas is reached. Here we encounter the first extensive area of
omental or mesogastric adhesion. The omental peritoneum continues over
the ventral and caudal surfaces of the gland, investing the same, but
the dorsal surface has lost its serous covering and is anchored to the
ventral surface of the left kidney. Hence a sagittal section would show
the arrangement of the monkey's omentum as indicated in the schematic
Figs. 229 and 230. Making now a general comparison of the peritoneal
membrane of this animal with that of man, and of both with the preceding
common embryonal condition, we can draw the following conclusions,
indicated schematically in the five figures 228-232.
[Illustration: FIGS. 228-232.--Schematic sagittal sections of dorsal
mesogastrium and omental bursa, in man, monkey, and cat.]
[Illustration: FIG. 228.--Common embryonal condition, as illustrated by
cat, after rotation and formation of omental bursa.]
[Illustration: FIG. 229.--Area of adhesion between dorsal mesogastrium
and primitive parietal peritoneum in _Macacus_, producing condition
shown in Fig. 230.]
[Illustration: FIG. 230.--Arrangement of great omentum as found in
_Macacus rhesus_, shown without reference to areas of peritoneal
obliteration.]
[Illustration: FIG. 231.--Corresponding section of human adult
peritoneum showing, along dotted lines, area of peritoneal adhesion.]
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