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
The curved line _A_ may be taken as an arbitrary division between the
portion of the membrane which on the right of the figure passes to the
small intestine, and the portion which proceeds to the left to be
attached to the large intestine. In other words the line will
schematically separate the true mesenteric from the mesocolic segment of
the primitive membrane.
With the parts in their present position this line might be assumed to
indicate a strip along which the opposed serous surfaces of the parietal
peritoneum and the right leaf of the primitive mesentery became
adherent. In that case an actual division into a mesenteric and
mesocolic segment would have been effected.
Ventrad and to the right of this line of adhesion we would trace that
portion of the primitive membrane which now passes to the coils of the
small intestine as the true mesentery, having an apparent origin in the
background of the abdomen to the dotted line of adhesion. In the same
manner the peritoneal layers passing to the left to reach the caecum and
beginning of the colon would appear as a free mesocolon with the same
line of apparent origin from the background of the abdomen. (cf. p. 80.)
These considerations should be followed out in the dissection of the cat
in order to become familiar with the principle of _secondary lines of
origin_ for peritoneal layers. As we will see later this factor is of
importance in correctly estimating the value of the human adult
conditions.
3. A brief consideration of the mechanical conditions and comparison
with the earlier stages will show why the peritoneal layers which occupy
the bight of the fully developed umbilical loop are especially prone to
develop secondary lines and areas of adhesion to other serous surfaces.
If we compare the dorsal mesentery in its primitive condition, before
the straight intestinal tube has become differentiated into the
subsequent segments, and before the umbilical loop has been formed (Fig.
142), with the later stages represented by the intestines of the cat as
now arranged (Figs. 143 and 144), it will be seen that the vertical line
of attachment to the ventral surface of the vertebral column, between
the points _a_ and _b_ corresponds in the advanced stages to the
interval _ab_ separating the two points of the duodeno-colic isthmus;
also that the entire mesenteric peritoneal surface beyond the isthmus is
the result of drawing out and lengthening the intestinal tract.
Consequently folding or overlapping of this extensive membrane affords
opportunities for adhesions between its own serous surfaces or between
it and the remaining visceral and parietal peritoneum of the abdomen.
[Illustration: FIGS. 142-144.--Schematic representation of three stages
in the development of the mesentery of the umbilical intestinal loop.]
[Illustration: FIG. 142.--Early stage before differentiation of
intestinal canal.]
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