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
[Illustration: FIG. 232.--Section showing human adult peritoneum without
reference to area of adhesion.]
1. The dorsal layer of the monkey's omentum in its proximal segment
behaves in the same way as in man, _i. e._, it becomes adherent to the
primitive parietal peritoneum down as far as the caudal margin of the
dorsal surface of the pancreas included between the primitive
mesogastric layers forming by their further growth the omental apron.
Therefore we find, as in the human subject,
(_a_) The pancreas adherent to the ventral surface of the left kidney.
(_b_) A portion of the ventral surface of the kidney, cephalad of the
pancreas, and the dorsal wall of the retrogastric (lesser peritoneal)
space lined by secondary parietal peritoneum derived from the third
layer of the omentum (original right layer of dorsal mesogastrium).
2. The monkey differs from adult man in the behavior of the dorsal
omental layer in relation to the cephalic surface of the transverse
mesocolon. The adhesion, which in the human subject fuses this layer
with the transverse colon and mesocolon, does not occur in the monkey.
Hence we have in this animal the following conditions:
(_a_) The omentum is non-adherent to the transverse colon and transverse
mesocolon.
(_b_) The caudal surface of the pancreas is lined by its original
mesogastric peritoneum.
(_c_) The transverse mesocolon is formed by the original two layers of
the primitive dorsal mesentery; hence its cephalic layer is not
"peritoneum of the lesser sac" as is the case in man.
(_d_) The caudal part of the ventral surface of the left kidney below
the pancreas, is covered by the original parietal peritoneum.
(_e_) Only one point or line of _secondary peritoneal transition_
exists, where the dorsal layer of the omentum in the adult becomes
continuous with the parietal peritoneum covering the caudal surface of
the pancreas and the ventral surface of the left kidney.
_Note_: In the schematic sections shown in Figs. 228 to 232 the
transverse colon is represented as far removed from the ventral surface
of the left kidney, in order to make the peritoneal lines of the
mesocolon more clear. Actually a sagittal section which would divide the
kidney would cut the transverse colon at its extreme left end, where it
turns close to the ventral surface of the left kidney and then follows
its lateral border to form the splenic flexure (Fig. 235). The caudal
part of the ventral surface of the left kidney in the adult human
subject is covered by the peritoneum which, as secondary parietal
peritoneum, is derived from the upper part of the right leaf (later
ventral leaf) of the descending mesocolon. Hence it should be remembered
that these diagrams present _combinations_ of sections. A section which
will show the full development of the transverse mesocolon is mesad of
the kidney; while a section through the kidney would be too far laterad
to show the transverse mesocolon.
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