Treves in two out of 100 bodies found the cæcum in the right iliac region, but both it and the whole of the ascending colon were entirely free from any peritoneal connections with the dorsal parietes of the abdomen.
The gut from the tip of the cæcum to the hepatic flexure was entirely invested by peritoneum continuous with the mesentery. The ascending colon was covered in the same manner and by the same fold as the small intestine. The segment of large intestine thus free measured 8″ in both instances.
The mesentery lacked the usual attachment to the dorsal abdominal wall and its root was represented by the interval between the duodenum and the transverse colon. The membrane had no other than its original primary attachment, and small intestine and ascending colon formed together a loop that practically represented the condition of the great primary intestinal loop. (Compare [p. 73].)
The arrangement presented in these two subjects corresponds to that met in many animals, such as the cat.
A cross-section of the cat’s abdomen arranged as above would show the following disposition of the peritoneum, corresponding to the stage in the human development preceding the fixation of the two vertical colic segments (Fig. 157). It will be seen that the right and left mesocola can be reflected to the median line where they become continuous ventrad of the vertebral column and aorta with the mesentery of the small intestine. The ventral surfaces of both kidneys are seen to be covered by the primitive parietal peritoneum of the abdominal cavity.
Figs. 157, 158.—Schema showing peritoneal arrangement in transection of infra-colic compartment of abdomen before and after fixation of ascending and descending colon.
Fig. 158 shows the adult human arrangement of the same parts, after fixation of the vertical colic segments by adhesion of the opposed surfaces of their mesocola and the primitive parietal peritoneum. The background of the abdomen is now seen to be covered by a layer of secondary parietal peritoneum, viz., the original left leaf of the ascending and right leaf of the descending mesocolon, continuous above with the lower or caudal layer of the transverse mesocolon.
This adhesion is so complete that the original condition is disregarded in adult descriptive anatomy. The layer which has adhered to the parietal peritoneum can no longer be recognized and the other has assumed the rôle of parietal peritoneum.
The connection of the transverse mesocolon with the dorsal lamella of the great omentum will be considered below.