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 connection of the right umbilical vein with the liver vessels is at
first symmetrical to that on the left side, but less strongly developed.
The effect of this connection is to reduce in the same way the proximal
segment of the right umbilical vein and to convert its termination into
a vena revehens. With the great development of the left vein, however,
the vein on the right side gradually diminishes and finally loses its
connection with the intrahepatic circulation altogether. The right
umbilical vein is now reduced to a vessel of the ventral abdominal wall,
which carries blood in the reverse of the original direction, _i. e._,
from the abdominal wall caudad _into_ the left umbilical vein (Figs. 253
and 255).
The connection thus established between the umbilical vein and the
portal circulation results in the formation of a single large (the
original left) umbilical vein which, throughout the remainder of foetal
life, returns all of the placental blood (Fig. 253).
The newly developed hepatic portion of the left umbilical vein becomes,
however, not only connected with the ductus venosus, but also with the
right part of the upper venous ring, derived from the right
omphalo-mesenteric vein (Fig. 253). This connection forms the left
portal vein of the adult, and enlarges rapidly.
The terminations of the ductus venosus and of the venae hepaticae
revehentes undergo a number of secondary changes in relative position.
The left hepatic vein loses its direct connection with the sinus
venosus, and now opens into the termination of the ductus venosus, into
which the right hepatic vein also empties. This common vessel (v.
hepatica communis) subsequently forms the proximal segment of the
postcava when this vessel develops (Fig. 256).
The blood, therefore, returned to the liver by the left umbilical vein
divides at the transverse fissure into three streams. Two of these pass
through the connection with the portal vein and through branches
developed from the hepatic part of the umbilical vein into the capillary
system of the right and left lobe. The third continues through the
ductus venosus to the common hepatic vein and sinus venosus (Fig. 256).
The ductus venosus thus becomes the chief vessel returning arterialized
placental blood to the heart. When the postcava develops fully the
hepatic segment of this vessel also joins the terminal part of the
ductus venosus (Fig. 256) and gradually replaces the same as the main
returning venous channel, the proximal part of the ductus venosus being
incorporated in the vena cava (Fig. 257). The postcava then receives the
right hepatic veins separately, while the left hepatic veins and ductus
venosus open together into the main vein. This condition obtains up to
the time of birth and the consequent interruption of the placental
circulation.
[Illustration: FIG. 257.--Schema of relation of postcava to hepatic
veins and ductus venosus.]
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