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
(_a_) _Vascular Mesenteric Folds._--The peritoneal vascular folds,
carrying the blood vessels to supply the caecum, are two in number, a
ventral (1) and dorsal (3). They are of nearly equal size and extent,
passing from the ventral and dorsal aspect of the ileo-colic junction
nearly to the apex of the caecum. Each contains a branch of the
ileo-colic artery, which forks in the ileo-colic mesentery, in the angle
between ileum and large intestine. The ventral branch continues in the
ventral mesenteric fold (Fig. 445) downward across the ventral surface
of the ileo-colic junction to supply the ventral part of the caecum,
while the dorsal branch descends behind the ileo-colic junction,
preserving a similar course in the dorsal mesenteric fold. The dorsal
arterial branch is somewhat larger than the ventral and its distribution
extends a little further down to the actual apex of the caecum.
(_b_) _Non-vascular Ileo-caecal Serous Reduplication._--Between the two
vascular mesenteric folds a third serous reduplication, carrying no
blood vessels, is found passing between the ileum and caecum. This fold
begins, in the preparation from which the figure is taken, on the ileum
opposite the attached mesenteric border, 2.7 cm. from the ileo-colic
junction, and passes for exactly the same distance down on the adjacent
left concave surface of the caecum. It is placed a little nearer to the
dorsal than to the ventral vascular fold, so that it passes, if the
distance between the two vascular folds on the caecum be divided into
three parts, at the junction of the dorsal third with the ventral two
thirds. The production of this intermediate non-vascular ileo-caecal
reduplication, which is of very constant occurrence in the mammalian
series, is to be led back to the development of the caecum. When the
pouch protrudes from the smooth surface of the embryonic intestine
opposite the mesenteric border, it extends backward along the future
small intestine and lifts off the serous investment of the gut in the
form of a small peritoneal plate filling the interval between itself and
the adjacent ileum. A very perfect illustration of this process can be
seen in the instance of Meckel's diverticulum shown in Fig. 561. The
proximal portion of the diverticulum is here still closely connected to
the small intestine along which it extends, both being surrounded by the
common visceral peritoneum. The distal part of the diverticulum has
separated more completely from the intestine, and in so doing has drawn
out the serous investment in the form of the triangular fold which is
seen to pass between the free margin of the intestine and the adjacent
surface of the pouch. The same process can be followed in its different
stages in certain normal mammalian caecal types.
[Illustration: FIG. 561.--Human adult ileum with Meckel's diverticulum.
Ileo-diverticular serous fold and persistent omphalo-mesenteric artery.
(Columbia University Museum, No. 1803.)]
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