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
4. This fusion of the two folds named in _Mycetes_ results in giving
different values to the dorsal vascular fold in its proximal and distal
segments. The proximal segment descends from the ileo-colic notch behind
the ileo-colic junction to its lower border as a distinct fold. Beyond
this point its fusion with the distal (caecal) segment of the
intermediate fold rounds out a fossa, the inferior or posterior
ileo-caecal, which is consequently bounded in front by the intermediate
vascular fold, behind by the proximal segment of the dorsal vascular
fold, to the right side by the inner wall of the caecum, between the
intermediate and dorsal vascular folds, above by the lower border of
ileum and ileo-colic junction, and below by the fusion of the two
folds.
This pocket or fossa which is the most important and constant of the
peritoneal recesses in the neighborhood of the caecum, opens upward and
to the left.
5. A superior or anterior ileo-caecal fossa, formed in cases of
well-developed ventral vascular fold between the same and the ventral
wall of the ileo-colic junction, is of small size and shallow.
The cause of the greater development of the dorsal as compared with the
ventral caecal artery is probably to be sought in the adhesion of the
colon to the dorsal parietal peritoneum. In _Cercopithecus_ the dorsal
surface of the ascending colon is adherent to the parietal peritoneum
down as far as the iliac region and beginning of the caecum, whereas in
_Mycetes_ the entire caecum, as well as the ascending colon, are free and
non-adherent to the abdominal parietes. The influence of this adhesion
on the arrangement of the vascular supply of the lower portion of the
ascending colon and caecum appears to be important. Some of the
departures from the _Ateles_ type presented by _Cercopithecus_ become
still better developed in the human subject, where the adhesion of the
ascending colon and the obliteration of the apposed serous surfaces of
ascending mesocolon and parietal peritoneum is normally complete, even
if the caecum remains entirely free, or only adheres to the iliac
parietal peritoneum in the proximal part of its dorsal surface.
Comparison with forms presenting non-adherent colic and caecal tubes
indicates that the adhesion determines the relative size and arrangement
of the ileo-colic vessels.
Thus the partially adherent colon and caecum of _Cercopithecus_ presents,
compared with the free tube of _Ateles_ and _Mycetes_, a marked
reduction of the ventral and a corresponding enlargement of the dorsal
caecal artery. Further progress in the same direction is noted in the
human subject where normally the ascending colon and at times the
proximal portion of the caecum are adherent to the dorsal parietal
peritoneum.
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