RT Journal Article
T1 Morphology of the ligament of Treitz likely depends on its fetal topographical relationship with the left adrenal gland and liver caudate lobe as well as the developing lymphatic tissues: a histological study using human fetuses
A1 Yang, Jae Do
A1 Ishikawa, Kazuo
A1 Hwang, Hong Pil
A1 Yu, Hee Chul
A1 Rodríguez Vázquez, José Francisco
A1 Murakami, Gen
A1 Cho, Baik Hwan
AB To investigate the factors affecting the development of the ligament of Treitz, we examined sagittal and frontal histological sections of 35 human fetuses with a crown-rump length of 100–300 mm (approximately 16–38 weeks of gestation). The retropancreatic fascia consistently extended in a layer behind the pancreatic body and the splenic artery and vein, and also in front of the left renal vein and left adrenal. In 18 specimens, a connective tissue band was seen originating from the diaphragmatic crus around the esophageal opening and ending at the retropancreatic fascia to the left of the origin of the celiac artery. In 10 of these 18 specimens, these putative upper parts of the ligament contained striated muscles, or so-called Hilfsmuskel. Although most of other 17 specimens were larger fetuses, the left adrenal, the liver caudate lobe and the celiac ganglion made space for the ligament very limited. In 22 specimens including the above 18, the retropancreatic fascia extended inferiorly to approach the fourth portion of the duodenum (D4) or the duodenojejunal junction (DJJ). However, in 11 of the 22 examples of the putative lower part of the ligament, the connection between the duodenal muscle coat and the fascia was interrupted by developing lymphatic tissues. Consequently, the ligament of Treitz seemed to develop from both pleuroperitoneal membrane-derived cells and the retropancreatic fusion fascia, although the morphology was markedly modified by adjacent structures such as the adrenal gland. The ligament may “recover” after the adrenal becomes reduced in size after birth.
PB Springer
SN 0930-1038
YR 2012
FD 2012-07-10
LK https://hdl.handle.net/20.500.14352/110946
UL https://hdl.handle.net/20.500.14352/110946
LA eng
NO Yang, J.D., Ishikawa, K., Hwang, H.P. et al. Morphology of the ligament of Treitz likely depends on its fetal topographical relationship with the left adrenal gland and liver caudate lobe as well as the developing lymphatic tissues: a histological study using human fetuses. Surg Radiol Anat 35, 25–38 (2013). https://doi.org/10.1007/s00276-012-0996-x
NO Marumo Research Foundation for Emergency Medicine (Japón)
DS Docta Complutense
RD 7 abr 2025