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
Now fix the transverse mesocolon firmly against the background of the
abdomen and place the ascending and descending colon as far as possible
over to the right and left side respectively. We will assume a line of
secondary adhesion between the transverse mesocolon and the parietal
peritoneum investing the dorsal abdominal wall. Along this line the
upper or cephalic surface of the transverse mesocolon would become
continuous with the dorsal parietal peritoneum, while the lower or
caudal layer would still be continuous with the left leaf of the
ascending and the right leaf of the descending mesocolon. We have
already seen that the duodenum and mesoduodenum become anchored in the
subhepatic region and that the visceral ventral peritoneum of the gut
and the original left leaf of the mesoduodenum appear then as secondary
parietal peritoneum. Hence a sagittal section through the right lumbar
region, right kidney and descending duodenum would, immediately after
rotation and establishment of the transverse mesocolon, show
the peritoneal arrangement indicated in Fig. 153. After adhesion of the
transverse mesocolon continuity would be established between its upper
or cephalic layer and the secondary parietal peritoneum investing the
supra-colic portion of the descending duodenum (Fig. 154) while its
caudal layer becomes continuous with the secondary parietal peritoneum
covering the infra-colic segment of the duodenum and the lower portion
of the ventral surface of the right kidney.
[Illustration: FIGS. 152-154.--Schematic representation of peritoneum in
fixation of descending duodenum and formation of transverse colon and
mesocolon.]
[Illustration: FIG. 152.--Sagittal section through right kidney and
descending duodenum before adhesion of latter to parietal peritoneum.]
[Illustration: FIG. 153.--Adhesion of descending duodenum to primitive
parietal peritoneum. Colon and mesocolon after rotation of the
intestine, but before adhesion.]
[Illustration: FIG. 154.--Adhesion of mesocolon to duodenum and
primitive parietal peritoneum, resulting in formation of root of
transverse mesocolon.]
Reference to the schematic Figs. 152, 153 and 154, will show that the
adult duodenum becomes fixed to the posterior parietes of the abdomen by
adhesion of its visceral serous covering and of the dorsal layer of the
mesoduodenum to the primitive parietal peritoneum. The supra-colic
segment of the adult descending duodenum lies under cover of a single
peritoneal layer, derived from its own visceral investment and appearing
as secondary parietal peritoneum by continuity laterad along the line of
adhesion with the primitive parietal peritoneum covering the upper part
of ventral surface of right kidney, while mesad, the layer covering this
segment of the duodenum, is continued into the secondary parietal
peritoneum derived from the left or ventral leaf of the mesoduodenum and
covering the ventral surface of the pancreas (cf. Figs. 138-140).
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account