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. 431, taken from another specimen of the same animal, shows the
characteristic crescentic curve of the caecum and the corresponding
course of the longitudinal muscular band. The apex of the pouch in this
preparation is more rounded and blunt.
The same blunt termination of the caecum of this type, with a
corresponding sharper demarcation of the appendix, is seen in the
gorilla (Fig. 457) recalling the conditions found in certain instances
in the human subject (Fig. 522).
2. In by far the larger proportion of cases (ninety per cent. in Treves'
series) the adult caecum obtains its characteristic form by an unequal
development of the walls of the intestine. The right segment between the
ventral and dorso-lateral muscular bands dilates, forming a sacculation
which projects caudad and constitutes the secondary caput coli, while
the segment between the lower border of the ileum and the original apex,
marked by the origin of the appendix, remains stationary or is further
reduced. This unequal development produces a relative displacement of
the root of the appendix upward and to the left toward the ileo-colic
junction.
In some cases the primitive crescentic curve of the caecum, as indicated
by the direction of the ventral longitudinal muscular band, is still
perceptible.
The right wall of the foetal caecum, forming the most pendent portion of
the pouch, dilates uniformly and thus constitutes the adult caput coli.
The left wall appears as a small sacculation separating the root of the
appendix from the ileo-colic junction (schema, Fig. 509, _II, c_). This
type of the adult caecum is illustrated by the preparations shown in
Figs. 526-528. In other cases part of the right wall of the caecum
between the ventral and dorso-lateral colic taenia, dilates abruptly
forming a very prominent rounded sacculation which carries the lowest
part of the pouch caudad in a sharper curve than in the preceding form
as indicated by its deviation from the direction of the longitudinal
muscular band (schema, Fig. 509, _II, d_).
[Illustration: FIG. 526.--Human adult (Smith's Sound Eskimo). Ileo-colic
junction and caecum; dorsal view. (Columbia University Museum, No.
61/1461.)]
[Illustration: FIG. 527.--Human adult. Ileo-colic junction and caecum;
ventral view. (Columbia University, Study Collection.)]
[Illustration: FIG. 528.--Human adult. Ileo-colic junction and caecum;
ventral view. (Columbia University, Study Collection.)]
Figs. 529-531 afford examples of this type, while Fig. 532, taken from
an infantile preparation, shows that the same may begin to develop at a
very early age.
[Illustration: FIG. 529.--Human juvenile. Ileo-colic junction and caecum;
dorsal view. (Columbia University, Study Collection.)]
[Illustration: FIG. 530.--Human adult. Ileo-colic junction and caecum;
dorsal view. (Columbia University Museum, No. 115.)]
[Illustration: FIG. 531.--Human adult. Ileo-colic junction and caecum;
dorsal view. (Columbia University, Study Collection.)]
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