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
It appears that in the adhesion of the colic tube to the parietal
peritoneum the dorsal ileo-colic vessels find an element favorable to
their more complete development and extension, replacing in part or
entirely the ventral caecal artery which becomes limited in distribution
to the region of the ileo-colic junction. The adhesion and fixation of
the dorsal wall of the intestine seems to afford an advantage to the
dorsal vessel, whereas the greater mobility and the alternating
conditions of distension and contraction, with variations of intracaecal
pressure, depending upon the contents of the pouch, appear to operate
unfavorably upon the development of the ventral vessel.
This view is borne out by the conditions observed in the exceptional
instances in which in the human subject the ventral artery assumes the
large share in the supply of caecum and appendix (cf. p. 276). In all the
cases observed the type of the caecum indicated delayed or imperfect
colic adhesion, and the ascending mesocolon remained partially free.
If we now compare the conditions above described for _Ateles_,
_Mycetes_, _Cercopithecus_ with those usually found in man and in the
anthropoid apes, we may appreciate the significance of the structures
encountered by beginning the investigation with a type in which the
derivation of the different parts is still quite evident. Such a
condition is presented by the preparation shown in Fig. 563, taken from
a child one year of age. Here the descent of the caecum has evidently
been quite rapid and uniform without dorsal adhesion. The caecum and
ascending colon remain free and can still be lifted away from the
ventral facies of the right kidney and turned toward the median line to
a point somewhat beyond the renal hilus. The caecum hangs downward
vertically and the appendix arises from the funnel-shaped apex of the
pouch.
[Illustration: FIG. 563.--Human; child one year old. Caecum and
ileo-colic junction; ventral view. (Columbia University, Study
Collection.)
1. Ventral caecal artery, surrounded by epiploic appendages.
2. Dorsal vascular fold, forming appendicular mesentery.
3. Intermediate non-vascular fold.]
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