The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative AnatomyHuntington, George S. (George Sumner)
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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
Consequently here again the dorsal or posterior ileo-caecal fossa loses
its distal limitation. The usual arrangement of the parts, as found in
the human subject and derived from the preceding, is well illustrated by
another anthropoid ape, _Hylobates hoolock_. Fig. 455 shows the
ileo-caecum of this animal in the ventral view and the homologous parts,
as compared with _Gorilla_, are readily recognized. On turning the
terminal ileum ventrad and cephalad (Fig. 456), it is, however, seen
that the intermediate non-vascular fold does not merely cross the dorsal
vascular reduplication, as in _Gorilla_, but that it has begun to adhere
to the same at the point of intersection. Consequently a well-marked and
clearly limited posterior or dorsal ileo-caecal fossa is formed, bounded
ventrally by the intermediate fold at its accession to the caecum,
dorsally by the proximal part of the dorsal vascular fold, to the right
by the left wall of the caecum, behind by the attachment of the
intermediate fold, below by the confluence of the two folds, and above
by the lower border of ileum and ileo-colic junction.
The open mouth of the fossa looks to the left. Fig. 464, taken from an
adult specimen of the chimpanzee, _Troglodytes niger_, shows the extent
of the dorsal vascular fold and of its connection with the mesentery of
the terminal ileum.
The intermediate non-vascular fold extends from the ileum downwards
along the entire left border of the caecum to the root of the appendix,
fusing with the dorsal vascular fold and rounding out a deep posterior
ileo-caecal fossa.
The typical arrangement, as encountered in the human subject,
corresponds closely to the conditions presented by these anthropoid
apes.
[Illustration: FIG. 564.--Human adult. Caecum and ileo-colic junction.
(Drawn from preparation in Columbia University, Study Collection.)
1. Dorsal vascular fold at the beginning of the distal free portion,
forming the appendicular mesentery.
2. Proximal segment of dorsal vascular fold, fusing with
3. Intermediate non-vascular fold.
4. Rounded edge of union of dorsal vascular and intermediate folds
bounding the ileo-caecal fossa caudad.
5. Point of accession to appendix of proximal branch of appendicular
artery derived from posterior ileo-caecal artery.]
In Fig. 564, taken from an adult male human subject, the dorsal surface
of the ascending colon and of the ileo-colic junction is adherent to the
parietal peritoneum. The distention of the caecum is nearly uniform, the
right sacculation being only slightly larger than the left. The
appendix, measuring 18.4 cm. in length, arises from the dorsal surface
of the caput coli, 1.7 cm. from the point where the ventral longitudinal
muscular band turns around the caudal end of the pouch between the two
sacculations, and 3.7 cm. below the caudal margin of the ileo-colic
junction.
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