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
It will be noticed, in reference to the _direction_ of the blood
current, that at birth a sudden reversal takes place in the right
terminal branch of the umbilical vein at the transverse fissure (Figs.
260 and 261). Before birth the blood current of the umbilical vein
divides into three streams, right, left and central. The latter enters
the ductus venosus. The left enters the liver directly, the right
traverses, from left to right, the segment between the termination of
the umbilical and the bifurcation of the portal vein. This segment in
the adult carries blood from right to left, as left branch of the portal
vein. In the foetus, however, the blood traverses this segment from left
to right, in passing from the umbilical to the right branch of the
portal vein. The blood entering the liver through the portal vein passes
chiefly into the right division of that vessel (Fig. 260).
After birth all the venous blood entering the liver passes
through the portal vein. In the right division the direction of the
current is the same as in the foetus.
On the left side, however, the current is now from right to left, from
the bifurcation of the portal into the channels of the left lobe
formerly connected with the umbilical vein (Fig. 261).
Hence the direction of the current in this segment is reversed at birth.
SUMMARY OF HEPATIC CIRCULATION.
The foregoing consideration of the development shows us that the hepatic
circulation presents successively three main stages:
=1. Omphalo-mesenteric or Vitelline Stage=, which results in the laying
down of the primary capillary circulation of the liver and in the
establishment of its connection with the developing veins of the
alimentary tract (primitive portal channels).
=2. Umbilical or Placental Stage=, in which the greater part of the
blood circulating through the liver is oxygenated blood returned from
the placenta by the umbilical vein, accounting for the rapid growth and
relatively large size of the organ during foetal life.
The placental blood uses the preformed capillary channels of the
vitelline or primitive portal system in the liver, and the same rapidly
extend and enlarge with the accelerated growth of the gland. During this
stage venous blood is also returned from the alimentary tract to the
liver by the portal vein, produced by fusion of the distal segments of
the primitive vitelline veins and their secondary connection with the
mesenteric, splenic and pancreatic veins (omphalo-mesenteric development
of primitive vitelline veins).
=3. Adult or Portal Stage.=--With the interruption of the placental
circulation the portal vein assumes again its original position as the
only vein carrying blood to the liver. With the establishment of
intestinal digestion and absorption this vessel grows rapidly in size.
COMPARATIVE ANATOMY OF THE HEPATIC VENOUS CIRCULATION.
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