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 primitive biliary duct, portal vein and hepatic artery reach the
liver between the layers of the lesser omentum. The venae revehentes
(hepatic veins) reach the sinus venosus at the attachment of the liver
to the septum transversum (primitive diaphragm).
The first important change, resulting in a rearrangement of these
peritoneal layers, is produced by the connection of the umbilical with
the rudimentary portal vein.
This junction occupies a relatively wide area on the caudal surface of
the liver, and the layers of the lesser omentum are separated somewhat
at this point to accommodate the enlarging vascular structures between
them. More especially is this the case with the right leaf of the
primitive gastro-hepatic omentum. A species of lateral diverticulum is
formed by this leaf so as to include the umbilical vein at its junction
with the portal. The membrane in the region of this diverticulum turns
its surfaces dorsad and ventrad, and its free edge toward the right
(Fig. 277). With the gradual increase in the size of the vessels, and
with the transverse position which the rotation of the stomach imparts
to the opposite border of the lesser omentum attached to the lesser
curvature, this transversely disposed portion gradually exceeds in
length and size the part of the original omentum enclosing the umbilical
vein. This vessel and the investing peritoneum become lodged in a
sagittal depression on the caudal surface of the liver (rudimentary
umbilical fissure), while the transverse portion, developed as
indicated, surrounds the structures connected with the liver at the
future transverse or portal fissure.
[Illustration: FIG. 277.--Schematic view of embryonic liver, showing
influence of vascular connections on the arrangement of the lines of
peritoneal reflection.]
[Illustration: FIG. 278.--Later stages, showing development of
transverse fissure, Spigelian and caudate lobes.]
Schematically this rearrangement of the hepatic peritoneal lines of
reflection can be shown in Fig. 278.
It will be observed that in this way a small part of the caudal surface
of the right lobe has become partially marked off from the remainder as
a rudimentary Spigelian lobe, bounded ventrally by the transverse
fissure and lesser omentum attached to the same; to the left by the two
layers of the lesser omentum containing the ductus venosus; while the
limit cephalad is afforded by the reflection of peritoneum from liver to
diaphragm, forming part of caudal layer of right coronary ligament. To
the right this rudimentary Spigelian surface is directly continuous with
the rest of the dorsal and caudal surface of the right lobe (Fig. 277).
Finally a definite right limit is given to the Spigelian lobe by the
increasing size of the postcava and its closer connection with the
liver. This vessel now assumes the position of the main venous trunk
entering the heart from below.
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