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
It will be readily appreciated that a comparatively flat organ like the
stomach, will, as long as it occupies a sagittal position, with right
and left surfaces, help to divide the upper part of the abdominal cavity
to a certain extent into a right and left half, even if the peritoneal
connections of the organ are left out of consideration. As soon,
however, as the above-described changes in position take place and the
surfaces of the stomach are directed ventrad and dorsad, the relative
arrangement and extent of this right and left abdominal space becomes
altered by the different disposition of the septum, _i. e._, the
stomach. The original right side of the organ is now directed dorsad,
and the rotation of the organ has created a space between this dorsal or
"posterior" surface of the stomach and the background of the abdominal
cavity, which is the inception of the "lesser peritoneal cavity" or
retrogastric space. We will find that this space becomes well defined
and circumscribed by the peritoneal connections of the stomach, but we
will realize, even at this stage, that the _dorsal_ surface of the
stomach will form a part of the general _ventral_ wall of the lesser
peritoneal space.
On the other hand, the partial division of the abdomen into a right and
left half, effected by the stomach in its primitive sagittal position,
disappears after rotation of the organ. We now pass uninterruptedly from
left to right across the ventral (original _left_) surface of the
stomach.
B. Changes in the Direction and Extent of the Dorsal Mesogastrium.
The effects of the altered position of the stomach on the disposition of
the abdominal space have just been considered in relation to the organ
itself, without reference to its natural connections with the parietes
and with adjacent viscera. Their true significance and their influence
on the adult anatomical arrangement of the abdomen is, however, only
appreciated when the changes in the arrangement of the peritoneal
membrane which they involve, are taken into account.
The dorsal mesogastrium changes more than any other portion of the
peritoneum in the course of development. It not only becomes displaced
and altered in direction by the rotation of the stomach, but in addition
it grows so extensively that it finally hangs down like an apron over
the entire mass of small intestines, forming the great omentum.
If we begin with the primitive disposition of the sagittal stomach and
dorsal mesogastrium shown in Fig. 171 it will be observed that both
structures together actually divide the dorsal portion of the abdominal
cavity into symmetrical right and left halves (Fig. 172).
[Illustration: FIG. 171.--Schematic representation of dorsal
mesogastrium before rotation of stomach.]
[Illustration: FIG. 172.--Semi-diagrammatic representation of
mesogastrium in human embryo of the sixth week. (Kollmann.)]
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