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
If we now carefully examine the conditions presented by the intestine
and mesentery in a form like _Tamandua_ (Figs. 107 and 108) we will find
that they correspond to the developmental facts thus far considered. The
termination of the duodenum (1) and the bend in the colon (2) mark the
two points at which in the primitive schema (Fig. 111, I.) the umbilical
loop begins and terminates. The proximal of these two points (1)
corresponds to the termination of the duodenum, which segment extends
from here cephalad to the pyloric extremity of the stomach. The distal
point (2) is placed on the colon where the returning limb of the loop
resumes the original median vertical course of the large intestine.
These two points mark the neck of the loop, which we can describe as the
_duodeno-colic neck_ or _isthmus_.
The same condition is well shown in the intestinal canal of the snapping
turtle (Fig. 113). The duodenum and colon approach each other very
closely at the isthmus and between these points the convolutions of the
intestine extend in a wide circle. We will find this approximation of
duodenum and colon a feature which persists throughout all the later
developmental stages of the higher vertebrates and has an important
bearing on the final arrangement of the intestinal canal in the human
adult.
[Illustration: FIG. 113.--_Chelydra serpentina_, snapping turtle;
intestinal canal, pancreas, and spleen, isolated. (Columbia University
Museum, No. 1369)]
=Further Changes in the Development of the Human Alimentary Canal.
Rotation of the Intestine. Formation of the Segments of the Colon. Final
Permanent Relations of the Segments of the Intestinal Tube.=--The next
important stage leading up to the final adult disposition of the
intestine in man and the higher mammals is the _rotation_ of the
portions developed from the two limbs of the primitive loop around an
oblique axis drawn from the duodeno-colic isthmus to the apex of the
loop. The portion of the large intestine, developed from the ascending
limb of the loop, moves in the third month to the middle line, coming
into contact with the ventral abdominal wall. From here the large
intestine passes, ventrad of the jejuno-ileal coils, toward the cephalic
end of the abdominal cavity and lies transversely along the greater
curvature of the stomach. The growing coils of the small intestine crowd
the colon more and more cephalad. In the fourth month the caecum turns to
the right, coming into contact with the caudal surface of the liver,
ventrad of the duodenum, and subsequently reaches the ventral surface of
the right kidney. As the result of this rotation the ileo-colic
junction, caecum and succeeding portion of the colon are carried from the
original position in the distal and left part of the abdomen cephalad
and to the right across the proximal (duodenal) portion of the small
intestine, while the coils of the jejuno-ileum, developed from the
descending limb and apex of the loop, are turned in the opposite
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