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 main facts pertaining to the structure of the lesser peritoneal sac
and its connection with the greater peritoneal cavity by means of the
foramen of Winslow may be summed up as follows:
The mesogastrium as a whole, expanding originally in the sagittal plane
in a fan-shaped manner between the vertebral column and the ventral
abdominal wall, from the level of the umbilicus to the septum
transversum (diaphragm), divides the cephalic part of the abdominal
cavity into a symmetrical right and left half.
Figs. 172 and 273 represent the membrane as seen in a profile view from
the left side. We distinguish the segment dorsad of the stomach as the
dorsal mesogastrium, directly continuous with the remaining segments of
the common primitive dorsal mesentery, while the portion ventrad of the
stomach forms the ventral mesogastrium in which the liver develops. The
segment of the ventral mesogastrium between liver and stomach becomes
the lesser or gastro-hepatic omentum, while that between liver and
ventral abdominal wall forms the falciform or suspensory ligament.
A transection, showing the dorsal and ventral mesogastrium at the level
of the fundus of the stomach, is given in Fig. 298. The mesogastria are
here seen to be short, while in the schematic Figs. 291 and 292 the
membrane is, for the sake of distinctness, represented as being of
considerable extent.
[Illustration: FIG. 297.--Schematic sagittal section of the ventral and
dorsal mesogastria and epiploic bursa in a human embryo of eight weeks.
(Modified from Kollmann.)]
[Illustration: FIG. 298.--Transection of human embryo of 3 cm.,
vertex-coccygeal measure. (Kollmann.)]
The ventral mesogastrium surrounding the liver and stomach extends
caudad to include the first portion of the duodenum. Beyond this point
it terminates in a thickened free edge which includes the umbilical
vein. This vein extends from the umbilicus to the transverse fissure of
the liver (Fig. 297), lying within the umbilical fissure on the caudal
surface of the gland.
At the point where the vein enters the liver the thickened margin of the
ventral mesogastrium is continued, as ligamentum hepato-duodenale, to
the upper part of the duodenum and forms the ventral boundary of the
foramen of Winslow. Between the layers of the mesogastrium which meet in
this margin are situated the portal vein, biliary duct and hepatic
artery, together with the nerves and lymphatics of the liver.
The mesogastrium originally divided the abdominal cavity between
umbilicus and diaphragm into symmetrical right and left halves of equal
size and extent. This early symmetrical arrangement becomes disturbed
about the seventh week by the rotation of the stomach and the resulting
altered course of the mesogastrium, which render the two original equal
halves of the abdominal cavity unequal and asymmetrical. The original
right half becomes placed behind the stomach and is converted into a
blind sac with its opening directed to the right.
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