[Netter Basic Science] Larry R. Cochard - Netter’s Atlas of Human Embryology (2012, Saunders) - libgen.lc

28.06.2020 Aufrufe

Abdominal VeinsTHE GI SYSTEM AND ABDOMINAL WALLForegutCommon cardinalveinHeart (atrium)Umbilical veinVitelline veinHepatic diverticulumGallbladderSeptum transversumVitelline veinUmbilical veinHindgutYolk sacHepaticdiverticulumin embryo ofabout 4 mmvvEndodermal cells penetratingseptum transversum toLiver cells surround vitelline veins (v)from diverticulumCells fromseptumHepaticdiverticulumGallbladderVitellineveinSchematic sagittal sectionof septum in 5-mm embryovvvSeptumtransversuvGutSinus venosusCommoncardinal veinsUmbilicalveinsLiverVitellineveinsGutAtrophy ofentirerightumbilicaland proximalpart ofleftumbilicalveinsDuctusvenosus14.5 mm36 mmGutDevelopment of liver veinsRightumbilicalveinanastomosingwith liversinusoids,thenatrophiesProximal,middle (dorsal),and distalanastomosesof vitelline veinsHepaticveins(proximalvitellines)Portal veinformed fromportions ofright and leftvitellinesand middleanastomosis25 mm49 mmLeft umbilicalvein anastomosingwith left vitelline veinvia liver sinusoidsDiaphragmBare areaCoronary ligamentDuctus venosus(atrophies after birth)Left umbilicalvein infalciformligamentSplenic and superiormesenteric veinsjoining portalFigure 6.4 abdominal VeinsConverging on the sinus venosus of the developing heart are thecommon cardinal veins with embryonic blood, the umbilicalveins carrying oxygenated blood from the placenta, and thevitelline veins from the yolk sac. The vitelline veins pass throughthe developing liver, where they form a network of liver sinusoids.The remainder of the intraembryonic portion of the vitelline veinsbecomes most of the hepatic portal system of veins draining thegut. The right umbilical vein and proximal segment of the leftdisappear; the remaining part of the left umbilical veinanastomoses with the liver sinusoids to form a liver shunt into theinferior vena cava, the ductus venosus. After birth it becomes thefibrous ligamentum venosum.135

THE GI SYSTEM AND ABDOMINAL WALLForegut and Midgut Rotations6 weeksSeptum transversumEsophagusLiver (cut surface)Stomach rotatingLesser omentumSpleenFalciform ligamentGallbladderCranial limb of primary gut loopYolk sacstalkAllantoisArrow passing frommain peritoneal cavityinto omental bursaDorsal mesogastriumbulging to leftDorsal pancreaswithin mesoduodenumExtraembryonic coelom within umbilical cordVentral pancreas passinginto mesoduodenum8 weeksCecum on caudal limb of primary gut loopLiver (cut surface)GallbladderUmbilical ringUrorectal foldUrinarybladderSuperior mesenteric arterywithin dorsal mesenteryMesocolon of hindgutFalciform ligamentDiaphragmCecum passing to rightabove coils of small intestineGreater curvature of stomachrotated 90° to leftYolksac stalkAllantoisUmbilical cordSpleen withindorsal mesogastrium bulging to leftto form omental bursaPancreas within mesoduodenumSuperior mesenteric artery within dorsal mesenteryGenital tubercleMesocolonUrogenital sinusColonAnusUreterUrinary bladderRectumUrorectal septumFigure 6.5 Foregut and Midgut RotationsNear the end of week 8, two major events occur. The midgutgrows so rapidly, it extends into the umbilical cord and begins torotate around the superior mesenteric artery. Also, the foregutrotates 90 degrees around its long axis as the enlarging liver in theventral mesogastrium (lesser omentum) moves to the right andthe dorsal mesogastrium (greater omentum) begins to bulge tothe left. This bag of dorsal mesentery will grow extensively toform the lesser peritoneal sac (the omental bursa). The greaterperitoneal sac communicates with the lesser peritoneal sacunder the ventral mesogastrium through the epiploic foramen ofWinslow (dashed arrow in plate).136

Abdominal Veins

THE GI SYSTEM AND ABDOMINAL WALL

Foregut

Common cardinal

vein

Heart (atrium)

Umbilical vein

Vitelline vein

Hepatic diverticulum

Gallbladder

Septum transversum

Vitelline vein

Umbilical vein

Hindgut

Yolk sac

Hepatic

diverticulum

in embryo of

about 4 mm

v

v

Endodermal cells penetrating

septum transversum to

Liver cells surround vitelline veins (v)

from diverticulum

Cells from

septum

Hepatic

diverticulum

Gallbladder

Vitelline

vein

Schematic sagittal section

of septum in 5-mm embryo

v

v

v

Septum

transversu

v

Gut

Sinus venosus

Common

cardinal veins

Umbilical

veins

Liver

Vitelline

veins

Gut

Atrophy of

entire

right

umbilical

and proximal

part of

left

umbilical

veins

Ductus

venosus

1

4.5 mm

3

6 mm

Gut

Development of liver veins

Right

umbilical

vein

anastomosing

with liver

sinusoids,

then

atrophies

Proximal,

middle (dorsal),

and distal

anastomoses

of vitelline veins

Hepatic

veins

(proximal

vitellines)

Portal vein

formed from

portions of

right and left

vitellines

and middle

anastomosis

2

5 mm

4

9 mm

Left umbilical

vein anastomosing

with left vitelline vein

via liver sinusoids

Diaphragm

Bare area

Coronary ligament

Ductus venosus

(atrophies after birth)

Left umbilical

vein in

falciform

ligament

Splenic and superior

mesenteric veins

joining portal

Figure 6.4 abdominal Veins

Converging on the sinus venosus of the developing heart are the

common cardinal veins with embryonic blood, the umbilical

veins carrying oxygenated blood from the placenta, and the

vitelline veins from the yolk sac. The vitelline veins pass through

the developing liver, where they form a network of liver sinusoids.

The remainder of the intraembryonic portion of the vitelline veins

becomes most of the hepatic portal system of veins draining the

gut. The right umbilical vein and proximal segment of the left

disappear; the remaining part of the left umbilical vein

anastomoses with the liver sinusoids to form a liver shunt into the

inferior vena cava, the ductus venosus. After birth it becomes the

fibrous ligamentum venosum.

135

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