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
A corresponding arrangement is noted in the preparation of the caecum of
_Cercopithecus campbellii_ (Fig. 433). The large intermediate fold is
joined by the ventral vascular fold, thus defining the lower boundary of
ventral ileo-caecal fossa.
(_C_) _Union of both vascular folds with the intermediate non-vascular
fold._
I have encountered one instance of this arrangement in an infant, whose
caecum and ileo-colic junction is shown in Fig. 580. Both the ventral and
dorsal arteries in this case were equally developed, and shared equally
in the supply of caecum and appendix. Both vascular folds fused with the
intermediate fold, thus producing two typical ileo-caecal fossae, one
ventral, the other dorsal.
[Illustration: FIG. 580.--Human infant. Ileo-colic junction and caecum;
fusion of ventral and dorsal vascular folds, with intermediate fold.
(Columbia University Museum, No. 1663.)]
(_D_) _Abnormal positions of the appendix due to variations in the
arrangement and tension of the intermediate fold._
Fig. 510 shows a foetal caecum in the ventral view. The ventral vascular
fold (3) is well developed. The non-vascular fold is short, arising from
the ventral surface of the ileum, instead of from the free border of the
intestine opposite to the mesenteric attachment. It fuses with the
ventral vascular fold a short distance below the ileo-colic junction,
thus limiting a small ventral ileo-caecal fossa. The dorsal caecal artery
in this specimen was large, but the fold carrying it extremely narrow.
The preparation illustrates the type resulting from the reduction in
size and extent of the non-vascular and mesenteric folds. The
intermediate fold is reduced to a short and narrow band. Compared with
the usual infantile type the caecum lacks the characteristic turn upwards
and to the left, possibly in consequence of the slight traction caused
by the rudimentary intermediate fold. The pouch occupies a nearly
vertical pendent position, which the appendix, arising from the lowest
point of the caecal funnel, shares. The appendix is not drawn into the
retro-ileal position by the dorsal vascular fold, which is much reduced.
In Fig. 511, representing the caecum and appendix of a foetus at term, the
effect of the tense non-vascular intermediate fold (2) is seen in the
sharp turn to the left which it imparts to the nearly transversely
directed funnel-shaped caecum. The appendix (1) is coiled spirally for
13/4 turns behind the ileo-colic junction, with the tip directed upward
behind the mesentery of the terminal ileum. The non-vascular
intermediate fold (2) extends to the rest of the appendix. It appears
short in its caecal attachment, on account of the turn of the caecum
backwards and to the left and the close connection between the adjacent
margins of the ileum and caecum.
[Illustration: FIG. 581.--Human foetus at term. Ileo-colic junction and
caecum. (Columbia University, Study Collection.)
1. Appendix, terminal portion turned ventrad of ileo-colic junction.
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