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 the foetus at full term, if the caecum is still undescended and in
contact with the liver, it is not uncommon to find the cephalic portion
of the descending colon provided with a mesocolon, while the caudal part
of the descending colon is fixed by adhesion to the ventral surface and
lateral border of the left kidney. This free membrane is then really a
part of the transverse mesocolon. Where the caecum descends to the iliac
fossa the portion of the foetal descending colon so invested is drawn
over to the right and incorporated in the transverse colon.
Treves in two out of 100 bodies found the caecum in the right iliac
region, but both it and the whole of the ascending colon were entirely
free from any peritoneal connections with the dorsal parietes of the
abdomen.
The gut from the tip of the caecum to the hepatic flexure was entirely
invested by peritoneum continuous with the mesentery. The ascending
colon was covered in the same manner and by the same fold as the small
intestine. The segment of large intestine thus free measured 8" in both
instances.
The mesentery lacked the usual attachment to the dorsal abdominal wall
and its root was represented by the interval between the duodenum and
the transverse colon. The membrane had no other than its original
primary attachment, and small intestine and ascending colon formed
together a loop that practically represented the condition of the great
primary intestinal loop. (Compare p. 73.)
The arrangement presented in these two subjects corresponds to that met
in many animals, such as the cat.
A cross-section of the cat's abdomen arranged as above would show the
following disposition of the peritoneum, corresponding to the stage in
the human development preceding the fixation of the two vertical colic
segments (Fig. 157). It will be seen that the right and left mesocola
can be reflected to the median line where they become continuous ventrad
of the vertebral column and aorta with the mesentery of the small
intestine. The ventral surfaces of both kidneys are seen to be covered
by the primitive parietal peritoneum of the abdominal cavity.
[Illustration: FIGS. 157, 158.--Schema showing peritoneal arrangement in
transection of infra-colic compartment of abdomen before and after
fixation of ascending and descending colon.]
Fig. 158 shows the adult human arrangement of the same parts, after
fixation of the vertical colic segments by adhesion of the opposed
surfaces of their mesocola and the primitive parietal peritoneum. The
background of the abdomen is now seen to be covered by a layer of
secondary parietal peritoneum, _viz._, the original left leaf of the
ascending and right leaf of the descending mesocolon, continuous above
with the lower or caudal layer of the transverse mesocolon.
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