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
Finally, in a certain number of cases, an intermediate condition between
the types presented by Figs. 564 and 567 is encountered. In Fig. 568 the
general arrangement of the parts corresponds pretty accurately to that
seen in Fig. 566, but the transition from a completely free intermediate
non-vascular fold to one which has begun to fuse with the dorsal
vascular fold is evident. The caecum is bent upward and to the left, the
caput coli being formed by the right sacculation. The appendix, 7.8 cm.
long, takes a wide {~WREATH PRODUCT~}-shaped curve. The convexity of the proximal curve
corresponds to the point where the proximal appendicular artery (2)
passes to the tube. The non-vascular intermediate fold (3), measuring
2.2 cm., fuses with the dorsal vascular fold at this point.
The three preparations illustrate serially the share which the
peritoneal folds take in the formation of the posterior ileo-caecal
fossa.
In Fig. 566 the failure of the intermediate fold to meet and fuse with
the dorsal vascular fold has left the caudal boundary of the fossa
(between 2 and 3) incomplete, the ventral and dorsal walls being formed
by the folds in question. Fig. 568, in which fusion between the
non-vascular and the dorsal vascular folds has commenced, shows the
shallow form of the complete fossa under these conditions, while in Fig.
567, with extensive union of the folds, the fossa has correspondingly
increased in depth.
[Illustration: FIG. 569.--Human adult. Ileo-colic junction and caecum.
(Columbia University Museum, No. 1610.)]
[Illustration: FIG. 570.--Human infant, four days old. Ileo-colic
junction and caecum. (Columbia University Museum, No. 879.)]
[Illustration: FIG. 571.--Human infant. Ileo-colic junction and caecum.
(Columbia University, Study Collection.)]
A similar series is shown in Figs. 569, 570 and 571. In Fig. 569, taken
from an adult subject, the intermediate non-vascular fold is entirely
free, the dorsal branch of the ileo-caecal artery passes to caecum and
appendix in an area of adhesion between parietal peritoneum and the
intestine which includes the dorsal vascular fold. There is consequently
no caudal boundary to the ileo-caecal fossa. Figs. 570 and 571 are both
taken from infantile preparations.
In Fig. 570 the dorsal vascular and the intermediate folds nearly meet
at the root of the appendix. They serve to outline the fossa, which
appears completed in Fig. 571 by the actual meeting and fusion of the
folds.
_The Ileo-caecal Folds in the Anthropoid Apes.--(1) Chimpanzee,
Troglodytes niger._
The structures in a juvenile specimen of this animal are shown in Figs.
460 and 461.
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