The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative AnatomyHuntington, George S. (George Sumner)
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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
Turning them over to the left, as already stated, the proximal portion
of the transverse duodenum can be traced from right to left as far as
the root of the mesentery. Here the peritoneum investing the ventral
surface of the duodenum becomes continuous with the right leaf of the
mesentery. Now swing the whole mass of small intestines over to the
right, exposing the parietal peritoneum in the space to the left of the
vertebral column, between the attachment of the mesentery to the median
side, the root of transverse mesocolon cephalad and the descending colon
to the left. Remember that the same significance attaches to this
secondary parietal peritoneum as on the right side. It appears in the
adult as parietal peritoneum, but is in its derivation the original
right leaf of the descending mesocolon. Close to the root of the
mesentery the continuation from the right side of the transverse
duodenum will be seen, crossing the median line from right to left
ventrad of aorta and vertebral column and usually turning cephalad on
the left side of the lumbar vertebrae, as the fourth or ascending
duodenum, to reach the caudal surface of the transverse mesocolon near
its attachment, where the gut turns ventrad to form the duodeno-jejunal
angle and become continuous with the free small intestine.
From the fact that the transverse duodenum is thus seen on each side of
the root of the mesentery it will be recalled that after rotation of the
primitive intestine the superior mesenteric artery crosses the
transverse portion of the duodenum to reach its distribution between
the leaves of the mesentery. Hence this portion of the small intestine
consists of a dextro- and sinistro-mesenteric segment. This intersection
of mesentery and duodenum marks the site of the primitive duodeno-colic
isthmus through which the superior mesenteric artery passed to reach its
distribution to the gut composing the embryonic umbilical loop.
To the left of the ascending duodenum a portion of the caudal surface of
the pancreas will be seen, covered by the continuation of the caudal
leaf of the transverse mesocolon into the parietal peritoneum. The
consideration of this relation of peritoneum and pancreas will
profitably be deferred until we have studied the developmental changes
in the region of the dorsal mesogastrium and great omentum.
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