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
At the time when the intestine still presents the primitive arrangement
of the umbilical loop (Figs. 104 and 130) this vessel passes between
the layers of the dorsal mesentery through the narrow duodeno-colic neck
to reach the two limbs and the apex of the intestinal loop. In its
course it gives off successively branches to the gut from each side.
Those from the right side of the main vessel pass to the duodenum,
pancreas, jejunum and ileum. Those from the left side of the main vessel
accede in succession to the colic angle of the isthmus, the proximal
portion of the colon, the caecum and the ileo-colic junction. The
terminal portion of the superior mesenteric artery supplies the ileum
near the ileo-colic entrance. After rotation it will be found that the
turn has occurred at the point _X_ (Fig. 130), _i. e._, in that part of
the vessel which occupies the duodeno-colic isthmus. Hence it will be
found that the first branches derived from the right side of the
primitive superior mesenteric artery, supplying the duodenum and
pancreas (Art. pancreatico-duodenalis inferior) still arise after
rotation from the right side. They are succeeded, beyond the point _X_,
by the original highest _left_ branches passing to colon, caecum and
ileo-colic junction, while all the original right-sided vessels, except
the inferior pancreatico-duodenal, appear now as branches from the left
side of the main artery, supplying the coils of the jejuno-ileum. Hence
in the adult (Fig. 133) the succession of branches derived from the
right or concave side of the superior mesenteric artery is as follows:
1. Arteria pancreatico-duodenalis inferior.
2. Arteria colica media.
3. Arteria colica dextra.
4. Arteria ileo-colica.
On the other hand, the first branches from what has now become the left
or convex side of the vessel are the original lower right-hand vessels
to the small intestine developed from the descending limb of the loop.
Hence in the adult the left side of the superior mesenteric vessel gives
rise to the vasa intestini tenuis.
3. The caudal intestinal arterial branch derived from the aorta is the
inferior mesenteric artery supplying parts of the transverse colon, the
descending colon, sigmoid flexure and rectum (Figs. 130, 131, 132, and
133).
On the other hand in the cases of non-rotation of the intestine as above
described in Figs. 118-122, the embryonic type of the intestinal
arterial supply persists, as indicated schematically in Fig. 134. Not
only the pancreatico-duodenalis inferior, but all the remaining branches
to the small intestine are derived from the right side of the superior
mesenteric artery. The terminal branches of the main artery supply the
ileo-colic junction, while the arterial supply of the large intestine,
A. colica dextra and media, are given off from the left side of the
parent vessel.
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