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Transcript
Body Cavities
• At the end of the third week,
intraembryonic mesoderm
differentiates into paraxial mesoderm,
that forms somitomeres and somites;
intermediate mesoderm, that
contributes to the urogenital system;
and lateral plate mesoderm that is
involved in forming the body cavity .
• Soon after it forms as a solid
mesodermal layer, clefts appear in the
lateral plate mesoderm that coalesce
to split the solid layer into two:
(a)
parietal (somatic) layer adjacent to
the surface ectoderm and continuous
with the extraembryonic parietal
mesoderm layer over the amnion and
(b) the visceral (splanchnic) layer
adjacent to endoderm forming the gut
tube and continuous with the visceral
layer of extraembryonic mesoderm
covering the yolk sac
• By the end of the fourth week, the lateral body wall
folds meet in the midline and fuse to close the ventral
body wall. This closure is aided by head and tail folds
that cause the embryo to curve into the fetal position.
• Closure of the ventral body wall is complete except in
the region of the connecting stalk. Similarly, closure of
the gut tube is complete except for a connection from
the midgut region to the yolk sac that forms the
vitelline (yolk sac) duct.
• This duct is incorporated into the umbilical cord,
becomes very narrow and degenerates between the
second and third months of gestation.
SEROUS MEMBRANES
• Cells of the parietal layer of lateral plate mesoderm lining
the intraembryonic cavity become mesothelial and form
the parietal layer of the serous membranes lining the
outside of the peritoneal, pleural, and pericardial cavities.
• Cells of the visceral layer of lateral plate mesoderm form
the visceral layer of the serous membranes covering the
abdominal organs, lungs, and heart.
• Dorsal mesentery extends continuously from the caudal
limit of the foregut to the end of the hindgut.
• Ventral mesentery exists only from the caudal foregut to
the upper portion of the duodenum and results from
thinning of mesoderm of the septum transversum
Ventral Body Wall Defects
• Ventral body wall defects occur in the thorax,
abdomen, and pelvis and involve the heart
(ectopia cordis), abdominal viscera
(gastroschisis), and/or urogenital organs (bladder
or cloacal exstrophy)
• Omphalocele represents another ventral body wall
defect but it does not arise from a failure in body
wall closure. Instead, it originates when portions
of the gut tube (the midgut), that normally
herniates into the umbilical cord during the 6th to
10th weeks fails to return to the abdominal cavity.
DIAPHRAGM & THORACIC CAVITY
• The septum transversum is a
thick plate of mesodermal tissue
occupying the space between the
thoracic cavity and the stalk of
the yolk sac. This septum does
not separate the thoracic and
abdominal cavities completely
but leaves large openings, the
pericardioperitoneal canals, on
each side of the foregut
• As a result of the rapid growth of the lungs, the
pericardioperitoneal canals become too small, and the lungs
begin to expand into the mesenchyme of the body wall
dorsally, laterally, and ventrally.
• Ventral and lateral expansion is posterior to the
pleuropericardial folds. At first, these folds appear as small
ridges projecting into the primitive undivided thoracic cavity.
• With expansion of the lungs, mesoderm of the body wall splits
into two components: (a) the definitive wall of the thorax and
(b) the pleuropericardial membranes, which are extensions of
the pleuropericardial folds that contain the common cardinal
veins and phrenic nerves
FORMATION OF THE DIAPHRAGM
• During further development, the opening between the
prospective pleural and peritoneal cavities is closed by
crescent-shaped folds, the pleuroperitoneal folds, which
project into the caudal end of the pericardioperitoneal canals.
• by the seventh week, they fuse with the mesentery of the
esophagus and with the septum transversum . Hence, the
connection between the pleural and peritoneal portions of
the body cavity is closed by the pleuroperitoneal membranes.
• the connection between the pleural and peritoneal portions of
the body cavity is closed by the pleuroperitoneal membranes.
• Further expansion of the pleural cavities relative to
mesenchyme of the body wall adds a peripheral rim to the
pleuroperitoneal membranes.
• Once this rim is established, myoblasts originating from
somites at cervical segments three to five (C3-5) penetrate the
membranes to form the muscular part of the diaphragm
• Although the septum transversum lies opposite cervical
segments during the fourth week, by the sixth week, the
developing diaphragm is at the level of thoracic somites.
The repositioning of the diaphragm is caused by rapid
growth of the dorsal part of the embryo (vertebral
column), compared with that of the ventral part. By the
beginning of the third month, some of the dorsal bands
of the diaphragm originate at the level of the first
lumbar vertebra.
Clinical Correlates
Diaphragmatic Hernias
• A congenital diaphragmatic hernia, one of the more common
malformations in the newborn (1 per 2,000), is most frequently caused by
failure of one or both of the pleuroperitoneal membranes to close the
pericardioperitoneal canals
• peritoneal and pleural cavities are continuous with one another along the
posterior body wall. This hernia allows abdominal viscera to enter the
pleural cavity.
• Another type of diaphragmatic hernia, esophageal hernia, is
thought to be due to congenital shortness of the esophagus. Upper
portions of the stomach are retained in the thorax, and the
stomach is constricted at the level of the diaphragm.
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