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
On the other hand, the infra-colic segment of the descending duodenum,
as well as the lower and mesal angle of the ventral surface of right
kidney, between ascending and transverse colon, is covered by a layer of
secondary parietal peritoneum derived from the ventral layer of the
ascending mesocolon and continuous with the caudal layer of the
transverse mesocolon. Beneath this secondary parietal peritoneum are two
obliterated layers, on the one hand the dorsal layer of the mesocolon,
on the other the visceral infra-colic duodenal serosa and the primitive
prerenal parietal peritoneum.
In the further development of the adult human arrangement the changes
below the level of the transverse colon and mesocolon result in the
fixation of the ascending and descending colon to the background of the
right and left lumbar regions. The opposed serous surfaces of the
ascending and descending mesocola and of the dorsal parietal peritoneum
adhere and the process also usually involves the dorsal visceral
peritoneum of the ascending and descending colon, so that these portions
of the gut obtain a fixed position.
Adhesion of the mesocolon to the dorsal body wall (parietal peritoneum)
does not occur at all points at the same time. Usually adhesion proceeds
from the midline laterad. The fixation of the ascending colon in the
human embryo begins about the fourth month.
In the descending segment by the same time adhesion has usually
proceeded nearly up to the descending colon, but the intestine itself is
as yet free. In the fifth month the descending colon has usually become
fixed between the splenic flexure and the beginning of the sigmoidea. In
the latter region a free mesocolon usually persists throughout life.
Differences in the rate of growth between the length of the body wall
and the length of the mesocolon may play an important part in the
production of peritoneal _fossae_, small pouches which in some regions of
the abdomen may assume considerable proportions. Such fossae are found
around the duodeno-jejuneal angle, the caecum and appendix, and the
sigmoid flexure. They will be considered more in detail with these
respective regions, especially in reference to their relation to
retro-peritoneal hernia.
In a certain proportion of cases adhesion between the parietal
peritoneum and the ascending and descending mesocolon is incomplete or
entirely wanting, resulting in the formation of a more or less
completely free ascending and descending mesocolon. Treves, in an
examination of 100 bodies, obtained the following figures:
In 52 subjects there was neither an ascending nor a descending
mesocolon, the intestine being fixed in the manner which is regarded as
normal.
In 22 there was a descending, but no trace of an ascending mesocolon.
In 14 a mesocolon was found in both the ascending and descending
segments of the large intestine.
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