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
The original right layer of the mesoduodenum and the right surface of
the duodenum now look dorsad and rest in contact with the parietal
peritoneum investing the right abdominal background and the ventral
surface of the right kidney and inferior vena cava. We have already seen
that the descending portion of the duodenum in man becomes anchored in
this position by adhesion of these apposed peritoneal surfaces. This
fixation includes, of course, the structures situated between the layers
of the mesoduodenum, _i. e._, the head of the pancreas. Consequently,
after rotation and adhesion, this portion of the gland turns one surface
ventrad, invested by secondary parietal peritoneum, originally the left
leaf of the free mesoduodenum, while the original right surface of the
gland has become the dorsal and has lost its mesoduodenal investment by
adhesion to the primary parietal peritoneum.
2. In order to understand the way in which the body and tail of the
pancreas obtain their final peritoneal relations it is necessary to
consider the development of the dorsal mesogastrium to form the omental
bag. If we regard the primitive dorsal mesentery in the profile view
from the left side (Fig. 215) it will be seen that, as already stated,
the mesoduodenum is the first part of the membrane to be invaded by the
pancreatic outgrowth from the intestine. Cephalad of the mesoduodenum
the primitive dorsal mesogastrium (Fig. 215) is seen to protrude to the
left and caudad to form, as already explained, the cavity of the omental
bursa of the retrogastric space ("lesser peritoneal sac"). The further
growth of the pancreas carries the developing gland from the district of
the mesoduodenum into that portion of the dorsal mesogastrium which now
forms the dorsal wall of the omental bursa (Fig. 216).
[Illustration: FIG. 215.--Cephalic segment of primitive mesentery in
schematic profile view.]
[Illustration: FIG. 216.--Schematic profile view of primitive
mesenteries with formation of omental bursa and developing spleen and
pancreas.]
[Illustration: FIG. 217.--_Sos scrofa foet._, foetal pig. Portions of
thoracic and abdominal viscera hardened in situ. (Columbia University
Museum, No. 1449.)]
This double relation of the pancreas to the mesoduodenum and to the
mesogastrium forming the omental bursa is well seen in foetal pigs
between two and three inches in length (Fig. 217).
The head portion of the pancreas is seen developing between the layers
of the mesoduodenum, while the body and tail of the gland, extending to
the left, grows between the two dorsal layers of the omentum bursa
towards the spleen, which organ is found connected with the left and
dorsal extremity of the omental sac derived from the dorsal
mesogastrium.
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