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
In the following stages the disproportionately large size of the
embryonic liver compels the colon, as the caecum descends, to assume an
oblique position. When the caecal descent is completed the colon
traverses the abdominal cavity in contact with the caudal surface of the
liver passing from the right iliac fossa obliquely cephalad and to the
left to the splenic flexure where it becomes continuous with the
descending colon, which segment has early assumed its definite position
in the background of the abdominal cavity on the left side (Fig. 495).
This oblique position of the colon is seen in Figs. 503 and 504. During
this stage the increase in the length of the colon may lead to the
arrangement seen in Fig. 505, where the future transverse segment of the
large intestine is bent caudad in form of an arch whose summit extends
nearly to the pelvis. This condition at times persists in the adult, in
cases of unusually long large intestine, and recalls the normal
arrangement found in many of the cynomorphous monkeys in whom the
transverse colon forms an extensive V-or U-shaped loop, with the apex
directed caudad toward the pubic symphysis (Fig. 506). In other
instances in the human foetus this part of the large intestine is thrown
into a number of shorter irregular coils (Fig. 507).
[Illustration: FIG. 503.--Human embryo, 7.6 cm. vertex-coccygeal
measure. Liver and small intestine from the duodeno-jejunal to the
ileo-colic junction removed. (Columbia University, Study Collection.)]
[Illustration: FIG. 504.--Human foetus, 10.6 cm. vertex-coccygeal
measure. Liver and greater part of small intestine removed. (Columbia
University, Study Collection.)]
[Illustration: FIG. 505.--Human foetus, 20.4 cm. vertex-coccygeal
measure. (Columbia University, Study Collection.)]
[Illustration: FIG. 506.--Abdominal viscera of _Macacus rhesus_, rhesus
monkey, hardened _in situ_. (Columbia University Museum, No 1817.)]
[Illustration: FIG. 507.--Abdominal viscera of human foetus at term,
hardened _in situ_; hepatic flexure formed, and ascending and transverse
colon differentiated. (Columbia University Museum, No. 1816.)]
[Illustration: FIG. 508.--Human foetus of 10.7 cm. vertex-coccygeal
measure. Liver and small intestine from the duodeno-jejunal to the
ileo-colic junction removed. The colon already presents an ascending,
transverse and descending segment. The appendix is retro-caecal, curved,
with the tip turned down, under cover of the ileo-colic junction and
mesentery. (Columbia University, Study Collection.)]
Normally, however, in the process of further development and with the
relative decrease in the size of the liver, the hepatic flexure (Fig.
505) becomes defined and passes cephalad and to the right, taking up the
slack of the bent segment and establishing the typical ascending and
transverse colon as seen in Fig. 508 (schema, Fig. 496).
III. VARIATIONS OF ADULT CAECUM AND APPENDIX.
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