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
direction, caudad and to the left underneath the preceding (Figs. 114
and 115). This change in the relative position of the parts of the
intestinal tract and the resulting altered bearing of the colon to the
duodenum will be best appreciated by considering in the first place the
effect of the change on the arrangement of the primitive mesentery and
the intestinal vessels, and secondly by repeating actually the rotation
in the intestinal tract of a mammal (cat) in which the adult arrangement
of the intestine and peritoneum permits us to perform the manipulations
and note the result.
[Illustration: FIG. 114_A_.--Intestinal canal in stage of umbilical
loop--before rotation.]
[Illustration: FIG. 114_B_.--First stage in rotation, colon crossing
duodenum.]
[Illustration: FIG. 115_A_.--Second stage in rotation--rotation of small
intestine.]
[Illustration: FIG. 115_B_.--Schema of intestinal canal after complete
rotation and descent of caecum.]
=I. Effect of Rotation on the Disposition of the Primitive Mesentery and
on the Relative Position of Duodenum and Colon, and Consequent
Arrangement of the Intestinal Blood Vessels.=--It will be appreciated
that in Fig. 111, representing a profile view of the original
arrangement, or in Figs. 107 and 108, showing the intestinal canal of
_Tamandua_, the left layer of the primitive mesentery is turned toward
the observer. The membrane is seen to pass from the ventral aspect of
the vertebral column and aorta, through the narrow neck of the
duodeno-colic isthmus, to expand in the manner already indicated toward
its intestinal attachment. In the rotation of the intestine the twist
takes place at the duodeno-colic neck, carrying, as already stated, the
large intestine cephalad and to the right, while the jejuno-ileum is
turned in the opposite direction caudad and to the left. During this
rotation the duodeno-jejunal angle (Figs. 114, _B_ and 115, _A_) passes
to the left underneath the proximal segment of the colon, which now lies
ventrad and to the right of the duodenal portion of the small intestine.
The mesenteric peritoneum, occupying the bight of the umbilical loop,
will, after the rotation, in the left profile view shown in Fig. 104,
_A_ and _B_, turn its original right leaf toward the beholder, _i. e._,
toward the left, while the original left leaf is turned toward the
right.
Observation of the difference in the position of the ileo-colic junction
will still further accentuate the change in the relative position of the
parts which has been effected by the rotation. In the primitive
condition shown in Fig. 104, _A_, the ileum enters the large intestine
from right to left, and the concavity of the caecal bud turns its
crescentic margin ventrad and to the right.
After rotation is accomplished (Fig. 104, _B_ and _C_, and Fig. 115) the
ileo-colic entrance takes place in the opposite direction, from left to
right and the caecum turns its concave margin caudad and to the left.
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