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
In other cases, also without pathological conditions, the proximal duct
is the larger of the two and serves as the principal channel of
pancreatic secretion, the canal of Wirsung being small. This is
evidently a persistence and further development of the early embryonic
relative condition of the two outgrowths above described (Fig. 190). On
the other hand the duct of Santorini may not open at all into the
duodenum, terminating in small branches which drain the proximal part of
the head of the gland (Fig. 191).
Schirmer has examined the arrangement of the pancreatic ducts in 105
specimens. In 56 of these the duct of Santorini passed from the main
duct into the duodenum, opening upon a papilla situated 2.5 cm. above
the common opening of the bile duct and canal of Wirsung.
In 19 the duct of Santorini was well developed but did not open into the
duodenum.
In but 4 cases the duct of Santorini formed the only pancreatic duct,
the lower opening being occupied by the bile duct alone (Fig. 192). We
may assume in these cases failure of development of the distal outgrowth
connected with the primitive hepatic bud, leaving only the proximal
duodenal outgrowth to form the entire adult gland.
Figs. 188 and 189 show the normal arrangement of the duodenal openings
of the biliary and pancreatic ducts.
Figs. 190 to 192 show schematically the variations in the relative
development and the adult arrangement of the pancreatic ducts.
=Diverticulum and Papilla Vateri.=--From what has been said regarding
the embryonic union of the distal pancreatic outgrowth with the hepatic
bud it will be easy to recognize the corresponding features in the
arrangement of the adult duodenal termination of the common bile-duct
and canal of Wirsung. The dilated interior of the duodenal papilla
(diverticulum Vateri) corresponds to the embryonic segment between the
intestinal opening of the primitive liver duct and the point when this
duct gives off the distal larger pancreatic outbud (Figs. 186, 187, 188,
193 and 194).
[Illustration: FIG. 194.--Adult human subject. Mucous membrane of
pyloro-duodenal junction and of duodenum. (Columbia University Museum,
No. 1840.)]
The union of the pancreatic and biliary ducts to form the recess of the
diverticulum Vateri, which then opens by a single common orifice into
the duodenum, is better marked in some of the lower vertebrates than in
man.
[Illustration: FIG. 195.--Duodenum, with entrance of pancreatic and
biliary ducts and well-developed diverticulum Vateri in the cassowary,
_Casuarius casuarius_. (Columbia University Museum, No. 1821.)]
Fig. 195 shows the proximal portion of the duodenum of the cassowary
(_Casuarius casuarius_) with the biliary and pancreatic ducts and the
diverticulum at their confluence in section.
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