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
In 12 there was an ascending mesocolon, but no corresponding fold on the
left side. Hence from this series a mesocolon may be expected on the
left side in 36 per cent., on the right side in 26 per cent.
Both development and comparative anatomy would lead us to expect that
the descending mesocolon would be found more frequently than the
ascending.
In the lower animals the descending mesocolon is always an extensive and
conspicuous membrane. It is well developed in all monkeys and the
anthropoidea, as the remains of the primary vertical fold of the dorsal
mesentery, while the ascending mesocolon is a secondary production,
acquired during the development of the bowel by rotation.
In most of the lower monkeys the ascending mesocolon is also largely or
entirely free. The descending mesocolon can always in these animals be
reflected to the median line (cf. Fig. 155).
[Illustration: FIG. 155.--Abdominal viscera of _Macacus cynomolgus_, Kra
monkey, hardened _in situ_. (Columbia University Museum, No. 1801.)]
The line of attachment in man of the descending mesocolon is usually
along the lateral border of the left kidney and vertical, while the line
of attachment of the ascending mesocolon is usually less vertical,
crossing the caudal end of the right kidney obliquely from right to left
and with an upward direction (Fig. 156).
[Illustration: FIG. 156.--Schema of visceral and peritoneal relations of
ventral surface of right kidney.]
In like manner when both the ascending and descending mesocola are
absent as free membranes the left or descending colon is adherent along
the lateral border of the kidney to the abdominal parietes, while the
ascending colon is fixed at the hepatic flexure a little obliquely
across the ventral surface of the caudal end of the corresponding gland
ascending toward the medial margin.
Treves found in the cases of persistent ascending mesocolon in the adult
that the membrane varied in breadth from 1" to 2" while the persistent
fold on the left side varied between 2" and 3" in breadth.
In the foetus, up to 5"-6" in length, the descending mesocolon is usually
an extensive fold. Its attachment is vertical, but nearer to the median
line than in the adult, usually along the medial border of the left
kidney. It is at times found attached along this line in the adult.
An ascending mesocolon is rare even in the foetus. The caecum and
beginning of the ascending colon are completely invested by peritoneum,
but above the parts so invested the colon is usually adherent along an
oblique line to the ventral and medial aspect of the right kidney.
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