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
[Illustration: FIG. 176.--Schematic ventral view of stomach, duodenum,
and dorsal mesogastrium, after rotation of stomach and extension of
omental bursa caudad beyond greater curvature of stomach. The ventral
mesogastrium is detached along the lesser curvature.]
[Illustration: FIG. 177.--Semi-diagrammatic representation of peritoneal
membrane in human embryo. (After Kollmann.)]
In the view directly from in front the redundancy of the peritoneum
forming the mesogastrium is shown in Figs. 176 and 177. Just as the
membrane extends further to the left than required by its visceral
connection with the stomach, so the downward growth exceeds the demand
made by the rotation of the attached border (greater curvature) caudad
and to the left. The mesogastrium, forming, as it now does, the great
omentum, enlarges in descending toward the transverse colon (Fig. 177).
The bag thus formed can be distended with air in a foetus of from 8 to 9
cm. vertex-coccygeal measure, as shown in the figure. Consequently in
sagittal section the membrane is seen to extend caudad beyond the level
of the greater curvature, and must turn on itself and pass again
cephalad in order to reach the stomach (Fig. 178). By reason of this
excessive growth the limits of the primitive retrogastric space are
enlarged, not only toward the left, but more especially in the caudal
direction. The bend made by the mesogastrium in returning to the stomach
forms the blind extremity of a pouch which continues the retrogastric
space caudad beyond the stomach, and whose dorsal and ventral walls are
formed by the reduplicated mesogastrium. This pocket or pouch
constitutes the _omental_ or _epiploic bursa_ of the lesser peritoneal
cavity, for the great omentum is the direct product of this redundant
growth of the mesogastrium caudad. It will be observed that the great
omentum is made up of four peritoneal layers, the folding of the
double-layered mesogastrium naturally producing this result. The first
or ventral and the fourth or dorsal layer are derived from the original
left layer of the primitive sagittal mesogastrium; the intermediate
second and third layers, separated from each other at this stage by the
cavity of the omental bursa, are products of the primitive right leaf of
the mesogastrium. Since the entire retrogastric space with its
extensions becomes the "lesser cavity" of the human adult peritoneum, it
will be seen that its serous membrane is derived from the original right
leaf of the mesogastrium (second and third omental layers). After the
above-described adhesion of the mesogastrium to the parietal peritoneum
overlying the ventral surface of the left kidney, the membrane would be
traced in sagittal section (Fig. 179) from the dorsal surface of the
stomach caudad, lining the interior of the omental bursa (second layer)
to the turn or blind end of the pouch; thence cephalad as the third
omental layer, forming the dorsal wall of the epiploic bursa, to invest,
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