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
For this reason the comparative study of the corresponding parts in
other vertebrates, especially in certain mammalia, is of the utmost
value, if we seek to explain and understand the derivation, significance
and typical arrangement of these folds. We have seen that the caecum as
found in the large majority of mammalian forms is equivalent to the
caecum and appendix of the human subject and anthropoid apes; that in
other words the vermiform appendix represents the distal segment of a
caecal pouch, originally uniform in caliber, which has remained
undeveloped, while the proximal portion has progressed evenly with the
general development of the alimentary canal to form the caecum proper. We
have seen that this tendency to retain the distal portion of the pouch
in a rudimentary condition, _i. e._, the production of an appendage to
the caecum proper, is encountered in several of the lower forms, as
certain Marsupials, Carnivores, Ungulates and Lemurs. The morphology of
the ileo-caecal folds is hence best understood by considering these
structures as they appear in connection with the various caecal types
presented by the lower mammalia. Their arrangement and significance can
here be readily made out. On the other hand, in studying these
structures in the human appendix we are following lines which are
already becoming indistinct on account of the rudimentary character of
the organ, which we must regard as undergoing an exceedingly slow
process of reduction, with a view to its ultimate elimination from the
body. We have seen that the structural uncertainty impressed on caecum
and appendix by this evolutionary influence finds its expression in the
wide range of variation in size and arrangement which these parts
present. Necessarily, of course, this tendency to variation is shared,
and even exhibited to a more marked degree, by what we can term the
accessory structures connected with caecum and appendix, viz., the
mesenteric vascular and non-vascular serous folds passing to them from
the ileum.
We can most profitably begin our consideration of these folds in a form
in which they are preserved in their entire and original development,
and then successively trace the changes leading up to the normal
disposition in the human subject. Such a type is presented by the caecum
of _Ateles ater_, the black-handed spider monkey (Figs. 444 and 445).
The caecum of this animal presents a uniform crescentic curve, with the
concavity directed upward and to the left, and the gradual diminution in
the caliber of the pouch, from the ileo-colic junction to the apex,
denotes the tendency to retain the distal segment in a rudimentary
condition, foreshadowing the eventual formation of a vermiform appendix.
In the ventral view, with the terminal ileum lifted up, the following
arrangement of folds passing between ileum and caecum is noted (Figs. 444
and 445).
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