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To begin with the attachment of the dorsal mesentery to the body wall is in the midline medicine 81 generic cytoxan 50 mg with amex. However as the gut increases in length it gets folded on itself and comes to be arranged in a complicated manner symptoms for diabetes cytoxan 50mg with amex. In particular note that the stomach and the transverse colon come to lie transversely (from their original vertical position) treatment kitty colds order cytoxan amex. The attachments of the dorsal mesentery corresponding to different parts of the gut also shift along with parts of the gut. Simultaneously some parts of the gut lose their mesenteries and become retroperitoneal. We have already noted that the fold of peritoneum that suspends the greater part of the small intestine is called the mesentery. The fold of peritoneum suspending the transverse colon is called the transverse mesocolon, and that sus- pending the pelvic colon is called the pelvic mesocolon. The arrangement of the peritoneum in the cranial part of the gut (including the abdominal part of the oesopha- gus, the stomach, and the frst two centimeters of the duodenum) is somewhat more complicated than else- where. This part of the gut is attached to the abdominal wall by two embryonic folds of peritoneum (33. One of these, the dorsal mesogastrium, is merely the cranial part of the dorsal mesentery discussed above. The second fold, the ventral mesogastrium passes from this part of the gut to the anterior abdominal wall. In later development the liver develops within the ventral mesogastrium so that the peritoneum forming it becomes divided into three parts. The third part passes from the liver to the anterior abdominal wall and diaphragm in the form of a number of ligaments (33. The spleen develops in the cranial part of the dorsal mesogastrium that is thus divided into: a. The attachment of this part of the dorsal mesogastrium shifts from the midline to the left side, over the region of the left kidney. Caudal to the gastrosplenic and lienorenal ligaments, the attachment of the dorsal mesogastrium to the poste- rior abdominal wall changes from a vertical position to a transverse one. Simultaneously, this fold elongates greatly and forms a double layered loop of peritoneum that runs down- wards from the stomach, curves on itself, and runs up again to reach the attachment on the posterior abdominal wall. Between these segments of gut there are the attachments of the remnants of the dorsal mesentery. The two together form one continuous (but complicated) line of attachment that is as follows. Starting at the oesophagus (just below the orifce for it in the diaphragm) there are, in that order a.
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