The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative Anatomy — John Shaqi
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
Recalling the development of the jejuno-ileum it will not be difficult
to recognize in the numerous coils of small intestine which succeed to
the duodeno-colic isthmus the results of the increase in length of the
descending or efferent limb of the human embryonal umbilical loop.
Tracing these coils it will be found that the terminal portions of the
ileum correspond to the apex and to the proximal part of the ascending
or recurrent limb of the primitive loop, while the remainder of this
limb furnishes the caecum and the next succeeding segment of the large
intestine. Following the tube up to this point the colic boundary of the
duodeno-colic isthmus will be reached; from here the short large
intestine of the carnivore descends straight into the pelvis, attached
to the ventral surface of the vertebral column by a mesocolon which
corresponds to the distal part of the original primitive dorsal
mesentery.
Now with the parts still in this position examine carefully the
arrangement of the mesentery and of the intestinal blood vessels.
Starting with the duodenum it will be seen that the primitive sagittal
mesentery of this portion of the intestine has followed the gut in its
turn to the right, so that the original right layer of the sagittal
membrane is now directed dorsad and lies in contact with the parietal
peritoneum which invests the background of the abdominal cavity in the
right lumbar region below the liver and covers the ventral surface of
the right kidney. Beneath this parietal peritoneum the inferior vena
cava is seen, receiving the right renal vein and ascending to enter the
dorso-caudal aspect of the right lobe of the liver. If now we assume
that in the cat the opposed serous surfaces of the original right leaf
of the mesoduodenum, now directed dorsad, and of the parietal peritoneum
adhere to each other, and that the visceral peritoneum covering the
dorsal surface of the descending duodenum likewise becomes obliterated
by adhesion to the subjacent parietal peritoneum, we will obtain the
arrangement found in the adult human subject, in which the descending
duodenum is fixed by adhesion below the right lobe of the liver and
ventrad of the medial portion of right kidney, right renal vein and
inferior vena cava. During this process of anchoring the head of the
pancreas, which is found between the two layers of the free mesoduodenum
of the cat, would also become fixed to the abdominal background by
adhesion of the original right leaf of the mesoduodenum, investing what
has now become the dorsal surface of the pancreas, to the parietal
peritoneum. The original left layer of the primitive mesoduodenum would
then appear as _secondary_ parietal peritoneum covering what has now
become the ventral surface of the transversely disposed head of the
gland. The stages may be represented schematically in Figs. 138-140.
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