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 proximal segment of the large intestine forms an extensive
sacculated pouch. If this is opened (Figs. 328-330) it is seen that the
small intestine leads into a compartment which is separated from the
remainder of the pouch by a valvular diaphragm with central circular
opening. Beyond this primary compartment the colic pouch is incompletely
subdivided by a series of gradually diminishing crescentic folds,
corresponding to the external constrictions between the sacculations.
The entire pouch gradually diminishes in caliber until it passes with a
sharp angular bend into the terminal portion of the endgut. This
terminal segment is differentiated from the elongated colic pouch by the
greater thickness of its muscular walls and by a slight annular
projecting fold in the interior. In considering the intestinal tract of
_Hyrax_ it is conceivable that the unique condition presented by this
animal may be derived from some type conforming in general structure to
the reptilian arrangement of the parts just detailed, as indicated in
the schematic Figs. 483-485. The proximal typical caecal pouch of _Hyrax_
would then correspond to the similar colic pouch of _Iguana_. To explain
the supplementary colic caeca it is necessary to suppose that the
transition of the colic pouch into the terminal hindgut had become well
differentiated, and that on each side of this junction the colic tube
had extended backwards, resulting in the production of the supplementary
bilateral caecal pouches of _Hyrax_.
[Illustration: FIGS. 483-485.--Schematic figures illustrating possible
line of derivation of aberrant mammalian type of alimentary canal
encountered in _Hyrax_.]
PART IV.
MORPHOLOGY OF THE HUMAN CAECUM AND VERMIFORM APPENDIX.
Not only is the anatomy of this portion of the alimentary tract of great
interest in relation to the evolution of the human structure, but in
addition the pathological and surgical importance of the region warrants
a very careful study of the caecum and appendix. This is more especially
the case since a number of variations in the arrangement of the
structures are encountered. These departures from what we consider the
normal human type have an important bearing on the development and
progress of the pathological conditions prone to involve the appendix.
We may consider the subject under the following subdivisions:
I. DEVELOPMENT OF THE CAECUM AND APPENDIX.
Much light is thrown on the adult anatomy of the parts and on the origin
of the variations observed by the study of their embryonic history. In
considering the factors which determine the variations in the position,
size, and shape of the appendix it must be remembered that the
rudimentary character of this structure is responsible for many of the
aberrant conditions encountered.
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