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
On the other hand, the ventral one of the two layers constituting the
gastro-splenic omentum and including between them the left
gastro-epiploic artery, is formed by the distal part of the primitive
left layer of the mesogastrium, while the dorsal layer of the same fold
is the portion of the primitive right layer beyond the spleen, which
has not been converted into secondary parietal peritoneum, but forms now
part of the ventral wall of the lesser peritoneal sac between the spleen
and the stomach (Fig. 181) (lig. gastro-lienale). Since, therefore, the
gastro-splenic omentum is a specialized part of the fully-developed
dorsal mesogastrium, and since we have seen that the great omentum is
formed directly by the excessive growth of this membrane caudad, it is
not difficult to understand why in the adult human subject the ventral
layer of the gastro-splenic omentum is directly continuous with the
ventral layer of the great omentum along the greater curvature of the
stomach to which both are attached. The dorsal layer of the
gastro-splenic omentum would, in the same way, be continuous with the
second layer of the great omentum, lining the ventral wall of the
omental bursa, if it were not for the fact that in the adult adhesions
usually obliterate the cavity of the bursa.
Fig. 182 shows the stomach, left kidney, spleen and splenic flexure of
the colon hardened in situ and removed from the body of a two-year-old
child. The great omentum has been divided along the line of adherence to
the transverse colon.
[Illustration: FIG. 182.--Part of the abdominal viscera of child, two
years old, hardened _in situ_ and removed from body. The great omentum
has been detached along the line of the transverse colon. (Columbia
University, Study Collection.)]
[Illustration: FIG. 183.--The same preparation with the spleen removed,
showing lines of peritoneal reflection on mesial surface of the organ.]
In Fig. 183 the spleen has been removed from the preparation by division
of its peritoneal and vascular connections, and is shown in its mesal
aspect (gastric and renal surfaces, intermediate margin and hilum). It
will be seen that the peritoneal reflections are arranged in the form of
two concentric elliptical lines. The two ventral lines form the
gastro-splenic omentum and correspond to the reflection of the
peritoneum from spleen to left end of stomach carrying the gastric
branches derived from the splenic artery. The third line from before
backwards results from the division of the secondary parietal peritoneum
of the lesser sac, covering splenic artery, and ventral surface of
pancreas and derived from the dorsal mesogastrium; while the most dorsal
fourth line represents the divided reflection of the peritoneum from the
renal surface of spleen to lateral border of left kidney and diaphragm
(lig. lieno-renale).
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