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
Through the development of the spleen the dorsal mesogastrium has been
subdivided into a proximal longer vertebro-splenic, and a distal shorter
gastro-splenic segment. The former, as we have seen, loses its identity
as a free membrane in the human adult, by fusing with the parietal
peritoneum investing the ventral surface of the left kidney. Hence,
after this adhesion has taken place, the splenic artery courses from the
coeliac axis to the spleen behind peritoneum which functions as part of
the general parietal membrane, but which is derived from the original
right leaf of the proximal vertebro-splenic segment of the primitive
mesogastrium (Fig. 181). On the other hand the distal segment of this
membrane, beyond the spleen, remains free, carrying, as the
gastro-splenic omentum, the left gastro-epiploic artery between its
layers from the splenic artery to the greater curvature of the stomach.
[Illustration: FIG. 181.--Schematic transverse section of the abdomen,
showing later stage of development of spleen and arrangement of
peritoneum after adhesion of dorsal layer of mesogastrium and primitive
prerenal parietal peritoneum.]
The lateral limit of the area of adhesion between mesogastrium and
parietal peritoneum is situated along the lateral border of the left
kidney. Hence, in the final condition of the parts, the main splenic
vessels at the hilum are situated between two peritoneal layers of which
the ventral (Fig. 181) appears as the parietal peritoneum forming the
dorsal wall of the retro-gastric space, while the dorsal layer (Fig.
181) forms a reflection from the mesal surface of the spleen, along the
dorsal margin of the hilum, to the adjacent lateral border of the left
kidney (lieno-renal ligament) and to the diaphragm. At this point of
adhesion subsequently firmer strands of connective tissue develop in the
serous reduplication forming the _ligamentum phrenico-lienale_ of
systematic anatomy. This process of adhesion takes place during the
second half of intra-uterine life. A connection with the colon, produced
by adhesion of the mesogastrium to the splenic flexure of the large
intestine, forms the adult _lig. colico-lienale_, while a similar
adhesion between great omentum, transverse mesocolon and phrenic
parietal peritoneum just caudad of the spleen, gives rise to the
_colico-phrenic_ or _costo-colic "supporting" ligament_ of the spleen.
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