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
[Illustration: FIG. 150.--Caudal portion of human embryo of 5 mm., with
the end- and caudal gut at the highest stage of its development. x 25.
(Reconstruction after His.)]
The early position of the colon produced by the large size of the foetal
liver, and before the descent of the caecum has occurred, is shown in
Fig. 124. In Fig. 123, where the liver has regained its normal
proportions with reference to the abdominal cavity and viscera, and the
caecum has descended into the right iliac fossa, the hepatic flexure is
well marked and the first segment of the colon has acquired the vertical
position on the right side, the single obliquely transverse segment of
Fig. 124, having become divided into an ascending and a transverse
colon.
[Fig. 124. Early stage. Liver relatively large. Proximal portion of the
colon extends obliquely between the right lumbar region and the spleen.
The caecum has not yet descended.
Fig. 123. Later stage. The caecum occupies the right iliac fossa.
Relative reduction in the size of the liver allows the colic segment to
be divided by the hepatic flexure into an ascending colon and a
transverse colon.]
At times the transverse colon, whose normal average length in the adult
is 20", greatly exceeds this measurement and forms an arch which hangs
down or makes a well-marked V-shaped bend with the apex directed toward
the pubes. This is the normal arrangement of this portion of the large
intestine in many of the lower primates. Fig. 151 shows the abdominal
viscera of _Macacus rhesus_, hardened _in situ_, seen from the front
and the right side, with the omentum turned up over the stomach. The
transverse colon forms an extensive V-shaped bend, whose apex reaches to
the pubes, from which point the large intestine turns again cephalad and
dorsad to form the splenic flexure and then descends to the pelvis.
[Illustration: FIG. 151.--Abdominal viscera of _Macacus rhesus_, rhesus
monkey, hardened in situ. (Columbia University Museum, No. 1817.)]
The average length of the ascending colon in the adult, measured from
the tip of the caecum to the hepatic flexure, was found by Treves in his
series of 100 bodies to be 8", while the descending colon, from the
splenic flexure to the beginning of the sigmoid loop, measured 81/2".
The descending colon may at times be much longer, up to 15", and become
convoluted.
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