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
The secondary parietal peritoneum derived from the ventral layer of the
ascending mesocolon covers the lower and inner portion of the ventral
surface of the right kidney, the infra-colic division of the descending
and the dextro-mesenteric segment of the transverse duodenum, while
along the root of the jejuno-ileal mesentery it becomes continuous with
the right layer of that membrane. The secondary parietal peritoneum
derived from the ventral layer of the descending colon covers the lower
part of the ventral surface of the left kidney and the
sinistro-mesenteric segment of the transverse duodenum and becomes
continuous along the mesenteric radix with the left layer of the
jejuno-ileal mesentery.
Caudad the adhesion of the descending colon and mesocolon to the
parietal peritoneum proceeds only to the point _C_, following the dotted
line mesad and resulting in the formation of the free mesocolon of the
sigmoid flexure.
=Resume of the Adult Arrangement of the Human Peritoneum in the Lower
Compartment of the Abdomen, Below the Level of the Transverse Colon and
Mesocolon.=--We should now consider the arrangement of the human
peritoneum in the adult below the dorsal attachment of the transverse
mesocolon in the light of the embryological and comparative anatomical
facts just stated. In doing this it will be advisable to study both the
actual conditions encountered and their significance in the sense of
determining the derivation of the peritoneal layers from the primitive
dorsal mesentery. Open the abdominal cavity in the usual manner by a
cruciform incision.
Turn the great omentum up on the chest wall, exposing the underlying
intestines. This manipulation, as already stated, will cause the omentum
to carry the transverse colon with it, on account of the adhesion, in
the adult, of the gut to the dorsal layer of the omentum. Hence the
cephalic or upper layer of the transverse mesocolon will not be seen at
this stage because the omental adhesion just referred to prevents us
from passing between the greater curvature of the stomach and the
transverse colon without tearing peritoneal layers. It will, however, be
possible to trace on the right side the duodenum from the pylorus down
ventrad of the right kidney until the descending portion disappears
behind the hepatic flexure of the colon. With the omentum and transverse
mesocolon turned up, as stated, and the transverse mesocolon put upon
the stretch, it will be seen that the abdominal space now overlooked is
bounded cephalad by the lower layer of the transverse mesocolon and its
attachment to the dorsal abdominal wall. The lateral limits of the space
are given by the ascending and descending colon respectively. The
attachment of the mesentery of the small intestine to the oblique line
extending from the left of the vertebral column at about the level of
the second lumbar vertebra to the right iliac fossa subdivides the
entire space into a secondary right and left compartment.
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