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
Fig. 499, taken from an embryo of 6.7 cm. vertex-coccygeal measure,
illustrates this stage, which is encountered in the majority of
instances and during which the retro-caecal coils of the terminal ileum
are withdrawn (schema, Fig. 493). The convolutions of the small
intestine have greatly increased in size and number. The retro-caecal
ileal coils, compared with Fig. 500, have shifted their position caudad
and to the left, so as to lie below and ventrad of the beginning of the
colon. Only a single coil remains behind the caecum and appendix,
intervening between these structures and the ventral surface of the
right kidney, and this coil is in the process of withdrawal from the
dorsal position as indicated by the superficial and short course of the
coil which connects it with the remaining ventral convolutions. As soon
as the withdrawal of this single remaining dorsal coil is completed the
entire mass of the small intestines will occupy a position ventrad,
caudad and to the left of the caecum and colon (Fig. 494), which will
then rest directly against the dorsal parietal peritoneum investing the
ventral surface of the right kidney.
This stage is illustrated in Fig. 502, taken from an embryo of 6.6 cm.
vertex-coccygeal measure. The caecum and appendix here occupy the
subhepatic position, well to the right of the median line and in the
background of the abdominal cavity. The terminal retro-caecal ileal coils
of the embryo shown in Figs. 500 and 501 have descended caudad and to
the left, thus freeing the dorsal surface of caecum and colon and
permitting direct contact with the prerenal parietal peritoneum.
[Illustration: FIG. 502.--Human embryo, 6.6 cm. vertex-coccygeal
measure. Liver removed. (Columbia University, Study Collection.)]
In the succeeding stages the caecum gradually descends along the
background of the right lumbar region from the subhepatic position to
the right iliac fossa, producing by this descent the ascending colon as
a distinct segment of the large intestine.
It will be observed that in the stage shown in Fig. 502 (schema, Fig.
494) the large intestine passes from the caecum to the splenic flexure
transversely from right to left across the upper part of the abdominal
cavity, caudad and ventrad of the stomach and cephalad of the coils of
the small intestine.
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