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
Returning to the conditions presented by the cat's intestines to obtain
an explanation of this line of fixation we must recall the fact that in
the peritoneum included within the limits of the umbilical loop, after
differentiation of small and large intestine, but before rotation, we
have both the elements of the mesentery of the small intestines and of
the ascending and transverse mesocolon combined (Fig. 141). For it will
be seen that this membrane carries at this time vessels both to the
jejuno-ileum and to the segments of the large intestine (caecum,
ascending and transverse colon). This fact will be at once recognized if
the cat's intestines are arranged to correspond to the primitive
condition (Fig. 136) and the mesentery examined.
After rotation and differentiation of the colic segments and after the
adhesion of the ascending and descending colon in man, the course of the
main trunk of the superior mesenteric artery passes, after crossing the
third portion of the duodenum, down and to the right to terminate near
the ileo-colic junction by anastomosis with its ileo-colic branch. The
adhesion of the right and left mesocola to the dorsal parietal
peritoneum proceeds mesad as far as this line, leaving free the
mesentery of the small intestines, which contains the vasa intestini
tenuis derived from the left side of the main vessel. The secondary line
of attachment of the mesentery to the abdominal background is therefore
along this line. To obtain a clear idea of these processes of
development in man assume that in the cat, after rotation and
establishment of the three divisions of the colon, the two vertical
(ascending and descending) mesocola become adherent to the dorsal
parietal peritoneum, leaving the mesentery of the small intestine free.
Fig. 159 illustrates schematically the area of mesocolic adhesion in the
human subject after complete rotation, and the line of the mesentery of
jejuno-ileum.
[Illustration: FIG. 159.--Schematic figure to show lines of mesocolic
adhesion, formation of root of transverse mesocolon and root of
mesentery of jejuno-ileum in human subject.]
Fixation of the ascending and descending cola and of their mesocola
proceeds cephalad as far as the line _AB_, which thereby constitutes the
root of the free transverse mesocolon.
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