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
The dorsal caecal artery is a vessel of large size, supplying branches to
the narrow appendicular mesentery which extends, with many epiploic
appendages, to within 9 mm. of the blunt apex of the appendix. 2.5 cm.
beyond the first bend in the appendix the fold is narrowed to a fringe
not more than 0.75 cm. wide. Up to this point the dorsal vascular fold
measures 1.5 cm. in width, and just where it narrows it is joined by the
intermediate non-vascular fold (Fig. 459), which forms a membranous
band, 3.3 cm. wide in the middle, spread out in the angle between the
lower and dorsal surfaces of the ileum and the dorsal surface of the
caecum which turns up behind the ileo-colic junction. Between this fold
and the dorsal vascular fold is seen the deep recess of the posterior
ileo-caecal fossa--which by reason of the sharp curve of the caecum looks
not only to the left but also upward and backward.
Direct comparison of the preparations of these two anthropoid apes just
described with the conditions found in many adult human caeca shows the
close correspondence in the arrangement of these folds and of their
influence on the configuration of the parts.
Figs. 572 and 573--taken from an adult human subject--show a caecum and
appendix which almost reproduces that of the chimpanzee illustrated in
Figs. 462 and 463 and closely resembles that of the orang.
[Illustration: FIG. 572. Human adult. Ileo-colic junction and caecum;
ventral view. (Drawn from preparation in Columbia University, Study
Collection.)
1. Ventral vascular fold.]
[Illustration: FIG. 573.--Dorsal view of the same preparation.
1. Appendix.
2. Intermediate non-vascular fold.]
Fig. 572, giving the ventral view, shows, by the course of the ventral
longitudinal muscular band, the turn of the caecum upwards and to the
left. The ventral caecal artery runs in a fold (1) loaded with epiploic
appendages.
The non-vascular intermediate fold (Fig. 573, 2) passes to the root of
the appendix, joining the proximal segment of the dorsal vascular fold
in which the dorsal branch of the ileo-colic artery runs to the tip of
the appendix. The distal two thirds of the appendicular mesentery are
free.
3. _Gibbon, Hylobates hoolock_ (Figs. 455 and 456).--In the gibbon the
folds appear well developed. The intermediate and dorsal vascular folds
are quite distinct structures, although fusion (Fig. 456) has begun at
one point, thus limiting a typical posterior ileo-caecal fossa.
4. _Gorilla, Gorilla savagei_ (Fig. 457).--Finally in the gorilla all
three folds appear quite distinct and separate from each other, the
dorsal vascular fold being especially well developed.
_Unusual and Aberrant Types of Ileo-caecal Folds and Fossae.--(A) Ventral
caecal artery larger than the dorsal, supplying the greater part of the
caecum and the appendix._
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