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
Subsequently, after the fourth month, while the right surface of the
mesoduodenum and descending duodenum adhere to the parietal peritoneum,
the peritoneal investment of the first portion or hepatic angle remains
free. This peritoneal covering of the proximal duodenal segment is
situated at the point where the caudal end of the ventral mesogastrium,
after surrounding the first portion of the duodenum, becomes continuous
with the dorsal mesentery forming the mesoduodenum. Obliteration of the
latter membrane by adhesion to the parietal peritoneum leaves the first
portion of the duodenum invested on both surfaces by the _lesser
omentum_, derived from the ventral mesogastrium. The ventral surface of
the gut is covered by the ventral layer, the dorsal surface by the
dorsal layer of the lesser omentum. These two layers become continuous
around the right free edge of the lesser omentum (hepato-duodenal
ligament) forming the ventral boundary of the foramen of Winslow (cf.
infra, p. 177).
Returning to the schematic consideration of the ventral mesogastrium
above outlined (Figs. 273 and 274) we have to note the first important
change in the arrangement depending upon the development of the liver.
This organ, growing, as we have seen, from the duodenum, extends between
the two layers of the ventral mesogastrium, receiving a serous
investment from the same. At an early period the liver, developing thus
between the mesogastric layers, reaches the septum transversum and
becomes closely connected with it, laying the foundation for the
subsequent extensive attachment of the gland to the diaphragm.
Extending caudad the liver grows beyond the caudal free edge of the
ventral mesogastrium on each side, carrying the serosa with it.
Consequently the ventral margin of the liver becomes indented at this
point; the umbilical vein and subsequently its fibrous remnant, the
round ligament, are imbedded in a notch and fissure (umbilical notch and
fissure) continued from the ventral margin dorsad along the caudal
surface of the liver (Fig. 259).
This growth of the liver has now effected a division of the primitive
ventral mesogastrium into two segments:
1. Ventral portion, between diaphragm and liver, forms the broad
falciform or suspensory ligament of the liver.
2. The dorsal portion, between liver and stomach, forms the lesser or
gastro-hepatic omentum.
The caudal free edge of the ventral mesogastrium extends between the
umbilicus and the caudal surface of the liver, carrying the umbilical
vein between its layers. The growth of the liver serves to bury this
free edge and the contained vein in a fissure on the caudal surface of
the liver. The same obtains in the case of the ductus venosus continued
from the umbilical vein (umbilical fissure and fissure of ductus venosus
of adult liver). Consequently the original continuity of the broad
ligament and lesser omentum, as parts of the primitive ventral
mesogastrium, is not readily seen in the adult.
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