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
I. The shortness of the large intestine in the cat will require careful
manipulation in order to produce a disposition in conformity with the
arrangement of this portion of the human intestinal tract. By
stretching the gut somewhat and pulling it well out of the pelvis
sufficient length will be obtained to establish an ascending, transverse
and descending colon. Move the caecum from the subhepatic position which
it occupies immediately after rotation (Fig. 145) down to the lower and
right-hand corner of the abdomen. Pull the distal portion of the large
intestine well out of the pelvis and obtain thus sufficient length to
establish an ascending, transverse and descending division each provided
with a free mesocolon (Fig. 146). In the formation of the three definite
main segments of the human large intestine, ascending, transverse and
descending colon, the following stages may be recognized:
[Illustration: FIG. 146.--Abdominal viscera of cat, with the intestines
rotated to correspond to the adult human disposition, with ascending,
transverse, and descending segments of the colon. (From a fresh
dissection.)]
1. Immediately after rotation the large intestine lies transversely
along the greater curvature of the stomach, with the caecum on the right
side in front of the duodenum and closely applied to the caudal surface
of the right lobe of the liver (Fig. 147).
[Illustration: FIG. 147.--Human foetus, 6.6 cm., vertex-coccygeal
measure; liver removed. (Columbia University Museum, Study Collection.)
x 4.]
PERSISTENCE OF SUBHEPATIC POSITION OF CAECUM IN ADULT.--The period at
which the caecum descends into the iliac fossa is liable to a
considerable range of variation.
Treves found in two foetus, measuring respectively 41/2" and 51/2", the
caecum on a level with the caudal end of the right kidney, while in
several individuals at full term the caput coli was still placed
immediately below the liver, with no large intestine in the place of the
ascending colon. This condition is well illustrated in the foetus shown
in Fig. 124.
The caecum may remain undescended throughout life. Treves, in an
examination of 100 bodies, found this condition in two subjects, both
females, one 41, the other 74 years of age. Both cases presented an
identical disposition. There was no large intestine in the place of the
ascending colon. The caecum was placed on the right side, immediately
underneath the liver, just to the right of the gall-bladder; it was
quite horizontal in position, continuing the long axis of the transverse
colon and included between the layers of the transverse mesocolon. From
the extremity of the caecum a horizontal fold was continued to the
abdominal parietes and upon it the edge of the liver rested. In one of
these instances the colon from the tip of the caecum to the splenic
flexure measured 38". The great omentum was attached only to the left
half of this portion. The descending colon was very long, measuring 15".
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