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
After rotation of the stomach (Fig. 173) the mesogastrium loses its
original sagittal direction. It follows the altered position of the
original dorsal border of the stomach, which has now become the caudal
margin or "greater curvature," by turning caudad and to the left, being
at the same time considerably elongated. This occurs during the second
month. Hence the dorsal mesogastrium, after leaving the vertebral
column, turns ventrad and to the left to reach its gastric attachment
along the greater curvature. This is the first indication of the
formation of the great omental or epiploic bursa.
[Illustration: FIGS. 173-175.--Schema of dorsal mesogastrium after
rotation of stomach.]
[Illustration: FIG. 173.--Early stage.]
[Illustration: FIG. 174.--Later stage, extension of mesogastrium beyond
stomach to left, with fundus of blind retrogastric pouch thus created at
X.]
[Illustration: FIG. 175.--After adhesion over area of dotted line
between dorsal mesogastrium and primitive parietal peritoneum. Secondary
line of transition from dorsal mesogastrium to parietal peritoneum at
X.]
The stomach is here considered as developing in situ and as influencing
by its growth and change of position the arrangement and direction of
the peritoneal layers with which it is connected. As a matter of fact it
is well to note that the stomach at first lies above the primitive
diaphragm or septum transversum, migrating, however, at an early period
into the subhepatic abdominal position. This migration produces a
corresponding increase in the length of the oesophagus (Fig. 34) and the
stomach, in consequence of this change in position, acquires its ventral
and dorsal mesogastrium. For the purpose of explaining the adult
peritoneal relations of the organ it is, however, more
convenient to regard the stomach as an abdominal organ from the
beginning and to deal with the subsequent changes in position from this
standpoint. The inaccuracy is slight and renders the comprehension of
the succeeding stages easier.
It will be noticed (Fig. 173) that the rudimentary retro-gastric space
or "lesser peritoneal sac" is bounded ventrally by the dorsal (the
primitive _right_) surface of the stomach, while its dorsal boundary is
furnished by the ventral (originally _right_) layer of the dorsal
mesogastrium.
In the primitive condition, therefore, dorsal mesogastrium and stomach
form together a straight line sagittal in direction and placed in the
median plane of the body. As the result of the developmental changes
above outlined this straight line becomes bent at the point where the
mesogastrium reaches the stomach (Fig. 173, x). The two component
elements of the line (stomach and mesogastrium) hinge on each other
here, and the angle which they form opens to the right.
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