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
Figs. 517 and 518 illustrate this form of the pouch, which, in our
experience, is frequently associated with the retro-caecal erect
position of the appendix (cf. infra, p. 251). Fig. 472 shows this type
in the adult with pendent appendix.
=II. Adult Caeca Derived from Type II.= (schema, Figs. 509 and
511).--From this more commonly observed type of foetal caecum the
following adult forms are developed:
1. The general shape and trend of the foetal caecum is preserved. The
pouch turns sharply to the left, carrying the apex with the root of the
appendix upward toward the ileum, the appendix itself being frequently
placed under cover of the terminal coil of the small intestine (schema,
Fig. 509, _II^b_).
[Illustration: FIG. 519.--Human adult (Smith's Sound Eskimo). Ileo-colic
junction and caecum. (Columbia University Museum, No. 59/1483.)]
[Illustration: FIG. 520.--Human adult. Ileo-colic junction and caecum.
(Columbia University, Study Collection.)]
[Illustration: FIG. 521.--Human adult. Ileo-colic junction and caecum.
(Columbia University, Study Collection.)]
[Illustration: FIG. 522.--Human adult (Smith's Sound Eskimo). Ileo-colic
junction and caecum. (Columbia University Museum, No. 56/1571.)]
The apex of the caecal pouch is either conical, narrowing gradually
toward the root of the appendix (Figs. 520 and 521), or blunt and more
sharply defined against the appendix (Fig. 522). Mr. Treves encountered
this "persistent foetal type" in two per cent. of his series.
The caecum is frequently sharply bent on itself in making the turn upward
and to the left, resulting in a deep indentation of the concave border
and producing a corresponding projecting fold in the interior of the
pouch (Fig. 523). The ventral longitudinal muscular band follows the
crescentic sweep of the caecum to the root of the appendix.
[Illustration: FIG. 523.--Human adult. Ileo-colic junction and caecum;
dorsal view; dried preparation. (Columbia University Museum, No. 200.)]
[Illustration: FIG. 524.--Human foetus at term. Ileo-colic junction and
caecum; ventral view. (Columbia University Museum, No. 1717.)]
[Illustration: FIG. 525.--Same preparation as Fig. 524; dorsal view.]
Figs. 524_a_ and 525_b_, representing the caecum of a foetus at term in
the ventral and dorsal view respectively, show very clearly the
arrangement of the foetal pouch from which the adult type with sharp
angular bend is derived. This type of adult caecum is found in certain of
the anthropoid apes.
In the orang (Figs. 458 and 459) the caecum turns sharply upward and to
the left, gradually narrowing in caliber to the root of the appendix
which is coiled behind the termination of the ileum.
The same type is seen in Figs. 462 and 463, taken from a preparation of
the adult chimpanzee. Fig. 463 shows especially well the sharp bend
between the caecum and colon by means of which the apex of the pouch is
carried cephalad behind the ileo-colic junction.
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