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
This adhesion is so complete that the original condition is disregarded
in adult descriptive anatomy. The layer which has adhered to the
parietal peritoneum can no longer be recognized and the other has
assumed the role of parietal peritoneum.
The connection of the transverse mesocolon with the dorsal lamella of
the great omentum will be considered below.
The course of the vessels in the ascending and descending mesocola is
not altered by the secondary adhesions. These vessels are in the adult
situated behind the secondary parietal peritoneum derived from the
mesocola.
The origin of the transverse mesocolon obtains by the fixation of the
hepatic and splenic flexures high up in the abdomen a transverse course,
and the transverse growth of the abdomen holds the membrane in this
position cephalad of the duodeno-jejunal flexure, so that on elevating
the transverse colon the mesocolon appears as separating the upper from
the lower abdominal compartment. This posterior line of attachment or
so-called "root of the transverse mesocolon," is nothing more than the
upper limit of the area of adhesion between the primitive parietal
peritoneum and the opposed surfaces of the ascending and descending
mesocola. Reference to the abdominal cavity of the cat after complete
rotation (Fig. 146) will show the original continuity of the three
mesocola very clearly. A secondary connection is established along the
lateral border of ascending and descending colon (Fig. 158), between the
primitive parietal peritoneum and the ventral visceral peritoneal
investment of the large intestine. Both of the vertical segments of the
colon now appear fixed. Their dorsal surfaces are uncovered by
peritoneum and can be reached in the lumbar region, laterad of the
kidney, without opening the peritoneal cavity (lumbar colotomy).
The caudal portions of both kidneys are covered, beneath the secondary
parietal peritoneum, by a layer of loose connective tissue representing
the result of obliteration by adhesion of the first and second of the
original three layers of prerenal peritoneum, _viz._, the primitive
parietal (1) and the two layers of the mesocola (2 and 3).
LINE OF ATTACHMENT OF THE MESENTERY OF THE JEJUNO-ILEUM.--Examination of
the caudal surface of the transverse mesocolon in the cat, with the
parts in the above outlined position, will show how and why in the adult
human abdomen the duodeno-jejunal angle appears to dip out from beneath
the transverse mesocolon, becoming gradually more and more free until
complete transition to the mobile jejunum is obtained. From this point,
situated to the left of the second lumbar vertebra, the dorsal
attachment of the adult human mesentery of the jejuno-ileum extends
somewhat obliquely caudad and to the right to terminate in the right
iliac fossa at the ileo-colic junction.
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