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 epithelium of all these structures is derived from the primitive
entoderm of the intestinal tube, except the epithelium of the salivary
glands, which, being derived from the stomadaeal invagination, is
ectodermal in character. We have previously noted the general history
and appearance of the yolk-sac and its connection by means of the
vitello-intestinal duct with the intestine. In contradistinction to the
adult organs just noted the yolk-sac or umbilical vesicle is merely a
temporary embryonal appendage to the alimentary canal. It also differs
from them in the fact that it is not an extension or budding from the
completed intestinal tube, like the liver and pancreas, but indicates,
by the implantation of the duct (Fig. 21), the last point at which
closure of the intestinal canal takes place, when after obliteration of
the duct the separation of the intestine from the yolk-sac is completed.
The segment of the primitive alimentary canal cephalad of the attachment
of the vitello-intestinal duct gives rise to the pharynx, oesophagus,
stomach, proximal portion of small intestine proper and its derivatives,
the liver and pancreas.
The portion situated caudad of the duct produces the rest of the small
and all of the large intestine (Figs. 33 and 35). At times in man and
other mammals (cat) the vitello-intestinal duct does not become
absorbed, but persists and continues to develop as a part of the small
intestine, forming the blind pouch or appendage known as _Meckel's
diverticulum_ (Figs. 37 and 38). This diverticulum may vary in length
from 1.5 to 15 cm. It either projects freely into the abdominal cavity
as a pouch arising from the convex border of the small intestine
opposite to the mesenteric attachment, or else it reaches the abdominal
wall at the umbilicus and is attached to the same. In a few instances it
has not terminated in a blind pouch, but has remained open at the
umbilicus, in which case the aperture discharges intestinal contents.
Sometimes the process of obliteration which normally leads to the
absorption of the vitello-intestinal duct extends to the adjoining
segment of the small intestine, resulting in obliteration of the
intestinal lumen and consequent obstruction at this point.
[Illustration: FIG. 36.--Reconstruction of alimentary canal of human
embryo of thirty-five days (13.8 mm.). x 8. (After His.)]
[Illustration: FIG. 37.--Human adult ileum with Meckel's diverticulum.
Ileo-diverticular serous fold and persistent omphalo-mesenteric artery.
(Columbia University Museum, No. 1803.)]
[Illustration: FIG. 38.--Human adult ileum, with Meckel's diverticulum.
(Columbia University Museum, No. 745.)]
The intestinal opening of the diverticulum is situated at a varying
distance above the ileo-colic junction, ranging from 27.5 cm. to 290
cm., with an average of 107 cm.
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