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BODY CAVITIES,

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... derived from lateral body wall receives sensory fibers from lower intercostal nerves ANOMALIES OF DIAPHRAGM CONGENITAL DIAPHRAGMATIC HERNIA EVENTRATION OF ... – PowerPoint PPT presentation

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Title: BODY CAVITIES,


1
BODY CAVITIES, MESENTERIES DIAPHRAGM
Dr. Ahmed Fathalla Ibrahim
2
INTRAEMBRYONIC COELOM
3
INTRAEMBRYONIC COELOM
  • Appears as isolated spaces in the lateral
    mesoderm
  • In the 4th week, the spaces fuse to form a single
    horseshoe-shaped (U-shaped) cavity
  • The coelom divides the lateral mesoderm into
  • Somatic (parietal) layer under ectoderm
  • Splanchnic (visceral) layer over endoderm
  • Somatopleure somatic mesoderm overlying
    ectoderm
  • Splanchnopleure splanchnic mesoderm
    underlying endoderm

4
INTRAEMBRYONIC COELOM
5
INTRAEMBRYONIC COELOM
  • DERIVATIVES It gives rise to three body
    cavities
  • A pericardial cavity the curve of U
  • Two pericardioperitoneal canals (future pleural
    cavities) the proximal parts of the limbs of U
  • Two peritoneal cavities the distal parts of the
    limbs of U
  • Each cavity has a parietal layer (derived from
    somatic mesoderm) a visceral layer (derived
    from visceral mesoderm)
  • FUNCTION It provides space for the organs to
    develop move

6
DEVELOPMENT OF PERITONEAL CAVITY
  • Major part of intraembryonic coelom
  • Develop from the distal parts of the limbs of the
    U-shaped cavity
  • Originally, it is connected with extraembryonic
    coelom (midgut herniates to the outside through
    this connection)
  • At 10th week, it looses its connection with
    extraembryonic ceolom (when midgut returns to
    abdomen)

7
DEVELOPMENT OF PERITONEAL CAVITY
  • Originally, there were 2 peritoneal cavities
  • After lateral folding of embryo, the peritoneum
    becomes a single cavity
  • HOW?

8
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9
Dorsal Mesentery
Gut
Peritoneal Cavity
Ventral Mesentery
10
MESENTERIES
  • A MESENTERY is a double layer of peritoneum that
    begins as an extension of the visceral
    peritoneum covering an organ
  • The mesentery connects the organ to the body wall
    and transmits vessels and nerves to it
  • Transiently, the dorsal ventral mesenteries
    divide the peritoneal cavity into right left
    halves
  • The ventral mesentery disappears EXCEPT where
    stomach develops
  • (WHY?)

11
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12
PERICARDIAL CAVITY
  • Develops from the curve of the U-shaped cavity
  • During formation of head fold, the heart
    pericardial cavity move ventrocaudally become
    anterior to the foregut (esophagus)
  • It is bounded by an outer somatic an inner
    visceral layer, forming the serous pericardium

13
PERICARDIAL CAVITY
  • Originally, it is connected with the 2
    pericardioperitoneal canals
  • Later on, it become separated from the 2
    pericardioperitoneal canals
  • HOW?

14
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15
PERICARDIAL CAVITY
  • Originally, the bronchial buds are small relative
    to the heart
  • Bronchial buds grow laterally into
    pericardioperitoneal canals (future pleural
    cavities)
  • Pleural cavities expand ventrally around heart
    splits mesoderm into
  • Outer layer forms thoracic wall
  • Inner layer pleuropericardial membrane

16
PLEUROPERICARDIAL MEMBRANES
  • THE PARTS SURROUNDING THE SEROUS PERICARDIUM
    form the fibrous pericardium
  • THE PARTS BEHIND THE HEART fuse with the ventral
    mesentery of the esophagus (at 7th week), forming
    the mediastinum separating pericardial from
    pleural cavities
  • N.B. The right pleural cavity separates from
    pericardial cavity earlier than left

17
PLEURAL CAVITIES
  • Develop from the 2 pericardiperitoneal canals
  • Originally, they are connected with pericardial
    peritoneal cavities
  • Later on, they become separated from
  • Pericardial cavity
  • Peritoneal cavity (HOW?)

18
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19
PLEUROPERITONEAL MEMBRANES
  • Produced when developing lungs pleural cavities
    expand into the body wall
  • During 6th week, they fuse with dorsal mesentery
    of esophagus septum transversum, separating
    pleural cavities from peritoneal cavity
  • N.B. The right pleural cavity separates from
    peritoneal cavity earlier than left

20
DEVELOPMENT OF DIAPHRAGM
21
DEVELOPMENT OF DIAPHRAGM
  • The diaphragm develops from
  • Septum transversum forms the central tendon
  • Dorsal mesentery of esophagus forms the right
    left crus
  • Muscular ingrowth from lateral body wall
    posterolateral part (costal part)
  • Pleuroperitoneal membranes small portion of
    diaphragm

22
SEPTUM TRANSVERSUM
  • At 3rd week, it is in the form of mass of
    mesodermal tissue in the cranial part of embryo
    (opposite the 3rd, 4th 5th cervical somites)
  • At 4th week (during formation of head fold), it
    moves ventrocaudally forming a thick incomplete
    partition between thoracic abdominal cavities
  • At 6th week, it expands fuse with dorsal
    mesentery of esophagus pleuroperitoneal
    membranes to form the diaphragm

23
INNERVATION OF DIAPHRAGM
  • Myoblasts from 3rd, 4th 5th cervical somites
    migrate into diaphragm bring their nerve fibers
    from them
  • Nerve fibers derived from ventral rami of 3rd,
    4th 5th cervical nerves fuse to form phrenic
    nerve that elongate to follow the descent of
    diaphragm
  • Both motor sensory supply of the diaphragm is
    derived from phrenic nerve
  • The part of diaphragm derived from lateral body
    wall receives sensory fibers from lower
    intercostal nerves

24
ANOMALIES OF DIAPHRAGM
  1. CONGENITAL DIAPHRAGMATIC HERNIA
  2. EVENTRATION OF DIAPHRAGM
  3. CONGENITAL HIATAL HERNIA

25
CONGENITAL DIAPHRAGMATIC HERNIA
26
CONGENITAL DIAPHRAGMATIC HERNIA
  • A posterolateral defect of diaphragm
  • Cause defective formation and/or fusion of
    pleuroperitoneal membrane with other parts of
    diaphragm
  • Effects
  • Herniation of abdominal contents into thoracic
    cavity
  • Peritoneal pleural cavities are connected with
    one another
  • The defect usually occurs in the left side (WHY?)

27
EVENTRATION OF DIAPHRAGM
28
EVENTRATION OF DIAPHRAGM
  • Cause failure of muscular tissue from body wall
    to extend into pleuroperitoneal membrane on one
    side
  • Effects superior displacement of abdominal
    viscera (surrounded by a part of diaphragm
    forming a pocket)

29
CONGENITAL HIATAL HERNIA
  • Herniation of part of the stomach through a large
    esophageal hiatus (opening)
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