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 angle between termination of the transverse colon and proximal
part of descending colon (splenic flexure) the caudal part of the
ventral surface of the left kidney will be felt. The disposition of the
peritoneum and its significance is the same as on the right side.
Inasmuch as we have already seen that the secondary parietal peritoneum
covering the dorsal abdominal wall on each side of the small intestine's
mesenteric attachment is derived from the primitive ascending and
descending mesocolon, it will be readily understood why the blood
vessels supplying the ascending and descending colon (arteria
ileo-colica, a. colica dextra, a. colica sinistra) are placed _behind_
the parietal peritoneum, while the colica media, supplying the
transverse colon, runs between the layers of the transverse mesocolon.
Originally the same condition obtained for the two vertical colic
segments, but with the anchoring of these portions of the large
intestine and the adhesion of their mesocola to the parietal peritoneum
the blood vessels which formerly ran between the two layers of the
membrane, as long as it remained free, now appear as retroperitoneal
vessels placed beneath the parietal peritoneum derived secondarily from
the mesocola.
This fact must be borne in mind in studying the arrangement of certain
folds and fossae of the parietal peritoneum which are now to be
considered.
=Duodenal Fossae. Fossa of Treitz and Retro-peritoneal Hernia.=--The
peritoneal cavity of the cat can be used to great advantage in order to
obtain a clear idea of the formation of these folds and fossae, whose
relation to the so-called "retro-peritoneal hernia" has led to an
exaggerated elaboration of minute detail and a somewhat puzzling
terminology in human descriptive anatomy.
=Directions for Examining the Folds and the Formation of the
Duodeno-jejunal Fossa in the Cat.=--Turn the omentum and the coils of
the small intestine cephalad out of the abdomen until they rest upon the
ventral thoracic wall. Press the large intestine over to the left side,
putting the mesocolon on the stretch until the parts are arranged as
shown in Fig. 160. The loop of the duodenum with the head portion of the
pancreas will be seen caudad of the liver and ventrad of the right
kidney. A well-marked peritoneal fold, somewhat sickle-shaped, with the
concavity of the free edge directed caudad and to the right, will be
seen extending from the convex border of the duodenum, directly opposite
the mesenteric or attached margin, to the right leaf of the mesocolon.
This fold indicates the beginning adhesion of the duodenum to the
mesocolic peritoneum, the first step toward the subsequent complete
fixation of the gut as it is found in man.
[Illustration: FIG. 160.--Abdominal cavity of cat, with intestines
everted and elevated to show duodenal fold. (From a fresh dissection.)]
[Illustration: FIG. 161.--Abdominal viscera of _Nasua rufa_, brown
coaiti. (From a fresh dissection.)]
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