Embryology: Gut Formation and Development

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Questions and Answers

Match the embryonic layers with their respective roles:

Ectoderm = Forms the neural tube Endoderm = Forms the gut tube Mesoderm = Holds the two tubes together Lateral plate mesoderm = Splits into visceral and somatic layers

Match the types of embryonic folding with their descriptions:

Lateral folding = Closes the ventral body wall Cephalocaudal folding = Forms the foregut and hindgut Neurulation = Forms the brain and spinal cord Mesoderm splitting = Creates the primitive body cavity

Match the terms with their definitions:

Primitive gut = Created during the 3rd and 4th week of embryo development Coelomic cavity = Space between visceral and somatic layers Peritoneal cavity = Part of the embryological development Mesenteries = Connectsome abdominal organs to the wall

Match the week of development with the corresponding embryonic event:

<p>3rd week = Formation of the neural plate 4th week = Development of the gut tube Early stage = Continuous primitive body cavity Endoderm folding = Formation of the ventral gut tube</p> Signup and view all the answers

Match the structures with their fate in embryonic development:

<p>Dorsal mesentery = Persists in some organs Ventral mesentery = Develops into the ligamentous structures Retroperitoneal organs = Lack mesenteries Visceral layer = Connected to the gut tube</p> Signup and view all the answers

Match the following terms with their functions:

<p>Ectoderm = Forms skin and nervous system Endoderm = Forms internal organs Mesoderm = Forms muscle and skeleton Somatic layer = Forms the body wall</p> Signup and view all the answers

Match the organ with its developmental origin:

<p>Foregut = Derived from the cephalic part of the gut tube Hindgut = Derived from the caudal part of the gut tube Liver = Develops from the foregut Kidneys = Developed from the mesoderm</p> Signup and view all the answers

Match the outcome of embryonic folding with its explanation:

<p>Formation of a tube = Primitive gut tube structure Closure of body wall = Result of lateral folding Division of the gut tube = Cephalocaudal and lateral folding effects Creation of body cavities = Spaces formed by mesoderm splitting</p> Signup and view all the answers

Match the following anatomical structures with their description:

<p>Spleen = Connected to the body wall by lienorenal ligament Pyloric Stenosis = Narrowing of the pyloric lumen in infants Duodenum = Formed from the terminal part of the foregut Liver Primordium = Outgrowth of the endodermal epithelium</p> Signup and view all the answers

Match the following ligaments with their related organs:

<p>Lienorenal ligament = Connects spleen to left kidney Gastrolienal ligament = Connects spleen to stomach Pyloric atresia = Severe vomiting from obstruction Dorsal mesogastrium = Fusion with the posterior abdominal wall</p> Signup and view all the answers

Match the following stages with their significance in development:

<p>5th week = Appearance of spleen primordium 3rd week = Outgrowth of liver primordium Stomach rotation = Duodenum forms a C-shaped loop Vitamin storage = Liver's primary function post-development</p> Signup and view all the answers

Match the following blood supplies with their respective regions:

<p>Celiac artery = Supplies foregut Superior mesenteric artery = Supplies midgut Branches of both arteries = Duodenum Hepatic artery = Supplies liver</p> Signup and view all the answers

Match the following conditions to their characteristics:

<p>Pyloric stenosis = Common in infants Septum atresia = Rare malformations Duplications = Anomalies of stomach structure Gall bladder formation = Involves liver development</p> Signup and view all the answers

Match the following systems with their development source:

<p>Respiratory System = Endoderm Digestive System = Endoderm Nervous System = Ectoderm Musculoskeletal System = Mesoderm</p> Signup and view all the answers

Match the esophageal abnormalities with their descriptions:

<p>Esophageal Atresia = Result of tracheoesophageal septum deviation Esophageal Stenosis = Caused by incomplete recanalization Congenital Hiatal Hernia = Stomach pulled into the esophageal hiatus Tracheoesophageal Fistula = Abnormal connection between trachea and esophagus</p> Signup and view all the answers

Match the following developmental weeks with their events:

<p>3rd week = Formation of liver primordium 5th week = Dorsal mesogastrium lengthening Fetal life = Development of pyloric stenosis Postnatal = Functionality of the duodenum</p> Signup and view all the answers

Match the stomach features with their details:

<p>Fusiform Expansion = Occurs in 4th week of development Rotation 90° = Around longitudinal axis Left Vagus Nerve = Innervates the anterior wall Right Vagus Nerve = Innervates the posterior wall</p> Signup and view all the answers

Match the following descriptions with the corresponding abnormality:

<p>Pyloric atresia = Obstruction leading to severe vomiting Duplications = Rare stomach malformations Prepyloric septum = Related to stomach abnormalities C-shaped duodenum = Result of stomach rotation</p> Signup and view all the answers

Match the following organs with their developmental origins:

<p>Spleen = Mesodermal proliferation Duodenum = Cephalic part of midgut Liver = Endodermal epithelium Pancreas = Head growth during duodenal formation</p> Signup and view all the answers

Match the parts of the stomach with their movements during rotation:

<p>Caudal/Pyloric Part = Moves right and upward Cephalic/Cardiac Portion = Moves left and downward Anterior Portion = Grows slower Posterior Wall = Grows faster</p> Signup and view all the answers

Match the mesenteries with their corresponding positions after stomach rotation:

<p>Dorsal Mesogastrium = Pulled to the left Ventral Mesogastrium = Pulled to the right Omental Bursa = Space behind the stomach Peritoneal Sac = Greater peritoneal space</p> Signup and view all the answers

Match the functions of the vagus nerve with their roles:

<p>Left Vagus Nerve = Anterior wall innervation Right Vagus Nerve = Posterior wall innervation Cervical Branch = Supplies laryngeal muscles Thoracic Branch = Supports thoracic organs</p> Signup and view all the answers

Match the statements about esophagus structure:

<p>Upper two-thirds = Striated muscular coat Lower third = Smooth muscular coat Innervated by Vagus = Upper two-thirds of esophagus Innervated by Splanchnic Plexus = Lower third of esophagus</p> Signup and view all the answers

Match the terms with their definitions:

<p>Esophageal Atresia = Blockage of the esophagus Stenosis = Narrowing of the esophagus Hiatal Hernia = Stomach above diaphragm Mesogastrium = Attachment of stomach to body wall</p> Signup and view all the answers

Match the following types of cells with their primary functions:

<p>Hematopoietic cells = Blood cell formation Kupffer cells = Liver macrophages Connective tissue cells = Support and structure Epithelial cells = Lining surfaces and cavities</p> Signup and view all the answers

Match the following structures formed by the septum transversum to their anatomical locations:

<p>Peritoneum of the liver = Surrounds liver and abdominal organs Falciform ligament = Attaches liver to diaphragm and anterior abdominal wall Lesser omentum = Connects liver to the stomach Central tendon of the diaphragm = Attaches the diaphragm to the liver</p> Signup and view all the answers

Match the following pathologies with their descriptions:

<p>Extrahepatic biliary atresia = 15%-20% correctable defect Intrahepatic biliary duct atresia = Rare abnormality 1/100,000 live births Biliary atresia = Caused by fetal infections Liver transplant necessity = 80%-85% die without treatment</p> Signup and view all the answers

Match the following terms with their definitions:

<p>Bare area of the liver = Area in contact with the diaphragm Visceral peritoneum = Covers most organ surfaces Septum transversum = Mesodermal plate in embryonic development Hepatic sinusoids = Vascular spaces in the liver</p> Signup and view all the answers

Match the following embryological structures with their origins:

<p>Hematopoietic cells = Mesoderm Kupffer cells = Mesoderm Connective tissue cells = Mesoderm Liver epithelial cells = Endoderm</p> Signup and view all the answers

Match the following parts of the embryonic gut with their descriptions:

<p>Foregut = Develops into parts of the esophagus and respiratory system Midgut = Temporarily connected to the yolk sac via the vitelline duct Hindgut = Suspended from the abdominal wall by dorsal mesentery Mesenteries = Connect organs to the body wall and provide pathways for blood and nerves</p> Signup and view all the answers

Match the following types of organs to their characteristics:

<p>Intraperitoneal organs = Enclosed by double layers of peritoneum Retroperitoneal organs = Lie against the posterior body wall Peritoneal ligaments = Double layers connecting organs or organ to the body wall Mesenteries = Provide pathways for vessels and nerves</p> Signup and view all the answers

Match the following mesentery types with their locations:

<p>Dorsal mesogastrium = Greater omentum Dorsal mesoduodenum = Surrounds the duodenum Dorsal mesocolon = Attaches to the colon Mesentery proper = Suspends jejunum and ileum</p> Signup and view all the answers

Match the following structures with their associated regions:

<p>Lesser omentum = Extends from stomach to liver Falciform ligament = Connects liver to ventral body wall Dorsal mesentery = Suspends foregut and hindgut Ventral mesentery = Exists only in the region of the esophagus and stomach</p> Signup and view all the answers

Match the following processes with their corresponding types of folding:

<p>Lateral folding = Affects the formation of the gut tube Cephalocaudal folding = Important for head and tail development Both of them = Contributes to the division of the gut tube Neither = Not involved in gut tube formation</p> Signup and view all the answers

Match the following embryonic phases with their advancements:

<p>4th week = Development of the foregut begins 5th week = Dorsal mesentery suspends most of the gut Respiratory diverticulum = Appears at the ventral wall of the foregut Tracheoesophageal septum = Partitions the lung bud from the foregut</p> Signup and view all the answers

Match the following terms to their definitions:

<p>Yolk sac = Connects to the midgut temporarily Vitelline duct = Also known as yolk stalk Abdominal wall = Supports the suspended gut tube Peritoneum = Lines the abdominal cavity and covers organs</p> Signup and view all the answers

Match the following structures to their roles in gut development:

<p>Dorsal mesentery = Suspends digestive organs from the abdominal wall Ventral mesentery = Only exists in specific gut regions Intrinsic growth = Facilitates the liver's development into mesenchyme Septum transversum = Divides the ventral mesentery</p> Signup and view all the answers

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Study Notes

Learning Outcomes

  • Understand embryonic folding processes that create the primitive gut and abdominal wall during the 3rd and 4th week.
  • Describe the development of pregut derivatives.
  • Explain the development of the coelomic and peritoneal cavities.
  • Discuss the fates of embryonic dorsal and ventral mesenteries.
  • Recognize why some abdominal organs have mesenteries while others are retroperitoneal.
  • Understand the positioning of the viscera and developmental causes of congenital gastrointestinal defects.

Embryonic Folding

  • During the 3rd and 4th weeks, ectoderm forms the neural plate, which rolls into the neural tube via neurulation.
  • The endoderm rolls down to form the gut tube, resulting in a tube-on-a-tube structure: neural tube dorsally and gut tube ventrally.
  • Mesoderm holds the two tubes together and splits into visceral and somatic layers, forming the lateral body wall.

Gut Tube Formation

  • Cephalocaudal and lateral folding create the primitive gut tube.
  • The primitive gut divides into foregut (cephalic), midgut (connected to yolk sac), and hindgut (caudal).

Mesenteries and Organ Suspension

  • Mesenteries (peritoneum) suspend some gut portions from the dorsal and ventral body wall.
  • Intraperitoneal organs are enclosed by double layers of peritoneum, connecting them to the body wall.
  • Retroperitoneal organs, such as kidneys, lie against the posterior wall with peritoneum only on the anterior surface.

Dorsal and Ventral Mesentery Development

  • The dorsal mesentery extends from the lower end of the esophagus to the cloacal region.
  • Dorsal mesogastrium forms the greater omentum; dorsal mesoduodenum and dorsal mesocolon also develop from the dorsal mesentery.
  • Ventral mesentery originates from the septum transversum and gives rise to the lesser omentum and falciform ligament.

Foregut Development

  • The respiratory diverticulum appears at the foregut's ventral wall, with the tracheoesophageal septum separating it from the dorsal foregut.
  • The esophagus rapidly lengthens, with varying muscular innervation: striated upper 2/3 by the vagus and smooth lower third by the splanchnic plexus.

Clinical Correlates: Esophageal Abnormalities

  • Esophageal atresia/tracheoesophageal fistula develops from anomalies during septum formation.
  • Esophageal stenosis primarily occurs in the lower third, linked to incomplete recanalization or vascular abnormalities.
  • Congenital hiatal hernia results from insufficient esophageal lengthening, pulling the stomach into the diaphragm.

Stomach Development

  • The stomach appears as a fusiform expansion of the foregut by the 4th week.
  • It undergoes 90° clockwise rotation around its longitudinal axis, altering the positions of its anterior and posterior walls.
  • Stomach rotation creates the omental bursa and affects mesogastrium position; the dorsal mesogastrium lengthens while the ventral moves right.

Stomach Abnormalities

  • Pyloric stenosis arises from hypertrophy of the pyloric musculature, causing severe food passage obstruction in infants.
  • Other rare stomach malformations include duplications and prepyloric septums.

Duodenum Development

  • Formed from the terminal foregut and cephalic midgut, the duodenum rotates into a C-shape during stomach development, becoming retroperitoneal.

Liver Development

  • The liver primordium appears in the 3rd week as an outgrowth from the endoderm at the foregut's distal end.
  • Liver cords differentiate into functional liver cells and structures for the biliary system, mixing with vitelline and umbilical veins.

Septum Transversum Contributions

  • Mesoderm of the septum transversum forms hepatocytes, Kupffer cells, connective tissues, peritoneum of the liver, falciform ligament, lesser omentum, and central tendon of the diaphragm.

Bare Area of the Liver

  • The liver's cranial surface remains uncovered by peritoneum, termed the bare area, while the rest is enveloped in visceral peritoneum.

Clinical Correlates: Biliary Atresia

  • Extrahepatic biliary atresia has low correctable defect rates, with most untreated cases leading to mortality without transplants.
  • Intrahepatic biliary duct atresia is a rare condition possibly linked to fetal infections, occurring in about 1 in 100,000 live births.

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