Development of the Abdomen Flashcards
What are the 3 layers of the trilaminar embryo?
Ectoderm
Lateral plate mesoderm
Endoderm
What does the lateral plate mesoderm split into?
Somatic and visceral layer of lateral plate mesoderm
What layers form the gut tube?
Endoderm + visceral layer of lateral plate mesoderm
What layers surround the gut tube?
Ectoderm + parietal layer of lateral plate mesoderm
What attaches the gut tube to the posterior body wall?
Dorsal mesentery
What surrounds the embryo?
Amniotic cavity.
This is done when the ectoderm and parietal layer fuse anteriorly to create the body wall.
What does the gut tube extend from?
Oropharyngeal membrane to cloacal membrane.
AKA
Mouth to anus
What are the additional extensions of the mesoderm called?
Allantois
Secondary yolk sac
What connects the yolk sac to the gut tube?
Vitelline duct.
What supplies blood to the yolk sac?
Vitelline artery.
What does the vitelline artery develop into?
Celiac
Superior mesenteric
Inferior mesenteric
What organs make up the foregut?
Distal esophagus
Stomach
Proximal duodenum
Liver & Gallbladder
Pancreas
Spleen
What 4 steps develop the initial gut tube into the foregut organs?
- Separation of the esophagus from the trachea.
- Stomach dilation and rotation
- Development of the gallbladder, liver, spleen, and pancreas.
- Rotation of the gut tube and glands to form spaces, ligaments, omenta & mesenteries.
What kind of emesis is a tracheoesophageal fistula?
Non-bilious.
What condition is a trachesoesophageal fistula almost always with?
Esophageal atresia.
90% of have an associated tracheo-esophageal fistula.
What are some key indications of an esophageal atresia?
Non-bilious emesis
Frothing at mouth
Inability to swallow food
Inability to pass an orogastric tube.
What are the two hernias that happen around the stomach/esophagus?
Hiatal hernia: cardiac region of stomach goes into thoracic cavity.
Para-esophageal hernia: Fundus of stomach displaces through diaphragm next to the esophagus.
How does the stomach get its shape?
Distends and rotates left.
Left side gets big, makes greater curvature.
Right side smaller, makes lesser curvature.
Duodenum gets its C shape.
What does intestinal atresia cause?
Bilious emesis
Inability to consume food until surgically repaired.
What does bilious emesis indicate?
Obstruction DISTAL to common bile duct insertion.
When does the liver bud extend off the foregut?
The hepatic diverticulum extends off at the 3rd week.