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
[Illustration: FIG. 512.--Human foetus at term (negro). Caecum and
ileo-colic junction; ventral view. (Columbia University Museum, No.
692.)]
[Illustration: FIG. 513.--Human foetus at term. Caecum and ileo-colic
junction; dorsal view. (Columbia University, Study Collection.)]
[Illustration: FIG. 514.--Human foetus at term. Caecum and ileo-colic
junction; dorsal view. (Columbia University Museum, No. 1715.)]
Figs. 513 and 514, also taken from the foetus at term, show the caecum
from the dorsal aspect and illustrate well the sharp character of the
curve which carries the apex of the pouch up and to the left.
All the variations observed in the adult caecum are derived from these
two foetal types by a subsequent and usually asymmetrical enlargement and
dilatation of the pouch.
We can consider the derivatives of each form separately.
=I. Adult Caeca Derived From Type I.= (schema, Fig. 509, _I^a_, Fig.
510).
1. Further development leads to an enlargement of the caecal pouch and a
sharper demarcation between the same and the appendix. The resulting
caecum is symmetrical, with equally developed lateral sacculi, between
which the termination of the longitudinal muscular bands and the root of
the appendix is situated (schema, Fig. 509, _I^b_).
[Illustration: FIG. 515.--Human foetus at term. Caecum and ileo-colic
junction; ventral view. (Columbia University Museum, No. 1510.)]
[Illustration: FIG. 516.--Human foetus at term. Caecum and ileo-colic
junction; ventral view. (Columbia University Museum, No. 1548.)]
In Figs. 515 and 516 two infantile caeca are shown which illustrate this
form. The narrow and pointed apex of the foetal conical caecum is replaced
by the capacious pouch which is differentiated sharply from the
appendix. Among the anthropoid apes the same type is seen in the caecum
of the gibbon (Figs. 455 and 456), and of the young chimpanzee shown in
Fig. 460.
2. An increased development of the caecal pouch in the adult leads to the
protrusion caudad of two symmetrical sacculations on each side of the
root of the appendix which appears between them. The original apex of
the caecal pouch is still marked by the implantation of the appendix and
by the termination of the longitudinal muscular bands, but the lowest
level of the pouch is found on each side of this point at the fundus of
the secondary lateral sacculi (schema, Fig. 509, _I^c_). Treves, to whom
belongs the credit of first accurately describing and classifying the
forms of the adult caecum based on the development, found this type in
three of a series of 100 cases examined.
[Illustration: FIG. 517.--Adult human caecum and ileo-colic junction.
(Columbia University, Study Collection.)]
[Illustration: FIG. 518.--Adult human caecum and ileo-colic junction.
(Columbia University Museum, No. 234.)]
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