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
Figs. 116 and 117 show the intestinal tract of _Tamandua bivittata_
arranged so as to correspond to the human embryonic condition after
rotation. The caecum has been brought up and to the right across the
proximal duodenal portion of the small intestine, while the jejuno-ileal
coils have been turned down and to the left. The rotation has been
accomplished by a twist at the duodeno-colic isthmus, and the original
right leaf of the mesentery has become the left and _vice versa_.
Comparison with Figs. 107 and 108, representing the condition before
rotation in the same animal, will indicate the changes which have been
accomplished by imitating the course of development followed in the
higher mammals.
[Illustration: FIG. 116.--Abdominal viscera of _Tamandua bivittata_,
with the intestine rotated to correspond to the development in the human
subject. (From a fresh dissection.)]
[Illustration: FIG. 117.--The same view as Fig. 116, from another
specimen.]
Failure of rotation and arrest of development at the primitive stage,
with consequent persistent embryonic condition of the mesentery, occurs
occasionally in man. Such cases have been reported by W. J. Walsham, in
St. Barthol. Hosp. Rep., London, Vol. 16. The following four instances
of this condition, taken from the Columbia University museum, will
illustrate the disposition of the abdominal contents.
Fig. 118 shows the arrangement of the abdominal viscera in an adult
female body. Beginning at the pyloric extremity of the stomach the
entire course of the duodenum can be overlooked and its continuation
into the jejuno-ileal division traced. The small intestines occupy the
ventral and right part of the cavity. The ileo-colic junction is placed
in the lower left-hand corner of the abdomen and the small intestine
enters the large from right to left, the ascending colon is situated to
the left of the median line and at its point of transition into the
segment representing the transverse colon is connected by several
adhesions with the ventral surface of the duodenum. The transverse
colon, folded into several coils bound together by adhesion, occupies
the upper left portion of the abdomen.
[Illustration: FIG. 118.--Abdominal viscera of adult human female, in a
case of arrested rotation of the intestines. (Columbia University
Museum, Study Collection.)]
[Illustration: FIG. 119.--The same preparation with the intestinal coils
displaced upward and to the left.]
Fig. 119, taken from the same specimen, shows the entire mass of
intestines lifted up and turned to the left, exposing the background of
the abdominal cavity lined by parietal peritoneum. The duodenum is still
entirely free and non-adherent to the parietal peritoneum. The
continuity of the mesoduodenum with the jejuno-ileal mesentery is well
shown. The primitive right leaf of the mesentery is turned to the
observer. This layer after completed rotation would form the left layer
of the adult mesentery of the jejuno-ileum.
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