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
formation of a free right edge, with the ventral layer of the same
membrane, passing from right to left, the two layers including between
them the structures entering and leaving the liver at the transverse
fissure (portal vein, hepatic artery, duct). Arriving at the left
extremity of the transverse fissure the ventral layer of the transverse
segment of the lesser omentum--as we practically trace it in the adult
as a free membrane--turns directly into the left leaf of the sagittal
segment attached along the fissure for the ductus venosus, and becomes
continuous along the dorsal border of the left lobe with the caudal
layer of the left coronary ligament. This direct continuity, as just
stated, exists practically in the adult. From the development of the
membrane, however, it will be seen that the ventral layer of the
transverse lesser omentum, at the left extremity of the portal fissure,
becomes continuous with the right layer of the primitive mesogastrium
enclosing the umbilical vein. After surrounding this vein it is
continued into the left leaf of the same membrane, which in turn passes
into the left layer of the portion attached along the fissure for the
ductus venosus.
This original connection can at times be traced very clearly in young
specimens (Fig. 279), and occasionally is also still evident in the
adult liver.
Usually, however, the round ligament of the adult and its investing
peritoneum is buried so deeply in the umbilical fissure, or even bridged
over in part by liver tissue, that the connection is not evident. The
ventral layer of the transverse omentum then appears directly continuous
with the left layer of the sagittal omentum attached along the fissure
for the ductus venosus.
We can sum up the facts just considered as follows:
1. The rotation of the stomach from the sagittal into the transverse
position, and the development of the umbilical and portal veins,
rearrange the original sagittal plane of the lesser omentum, dividing it
into two districts:
(_a_) Cephalic portion, remaining in the original sagittal plane,
follows the fissure for the ductus venosus. With the incorporation of
the Spigelian lobe in the adult dorsal or "posterior" surface of the
liver, this segment of the omentum assumes a vertical direction, forming
the left boundary of the Spigelian recess, being reflected from the
fissure for the ductus venosus to the abdominal portion of the oesophagus
and the part of the lesser curvature of stomach adjacent to the cardia.
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