Embryology: Pleuropericardial Membrane

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Questions and Answers

What is the primary role of the pleuropericardial membrane in an embryo?

  • To form the muscular layer of the heart
  • To separate the pericardial cavity from the pleural cavities (correct)
  • To regulate respiratory activity in the embryo
  • To facilitate blood flow within the heart

Which embryonic tissue layer contributes to the formation of the pleuropericardial membrane?

  • Somatic mesoderm (correct)
  • Ectoderm
  • Endoderm
  • Splanchnic mesoderm

What structure does the pleuropericardial membrane eventually develop into?

  • Peritoneal cavity
  • Muscle tissue of the diaphragm
  • Fibrous pericardium surrounding the heart (correct)
  • Pleural sacs

In the context of embryonic development, where is the pleuropericardial membrane located?

<p>Between the pericardial and pleural cavities (B)</p> Signup and view all the answers

What additional structure is indicated in the diagram along with the pleuropericardial membrane?

<p>Septum transversum (D)</p> Signup and view all the answers

Which adult mesentery is derived from the ventral mesentery?

<p>Falciform ligament (C)</p> Signup and view all the answers

Which ligaments are classified as components of the lesser omentum derived from the ventral mesentery?

<p>Hepatoduodenal ligament and hepatogastric ligament (A)</p> Signup and view all the answers

Which of the following structures is NOT derived from the embryonic mesentery?

<p>Mesochium (B)</p> Signup and view all the answers

Which adult mesentery includes the mesoappendix as a component?

<p>Mesentery of the small intestine (D)</p> Signup and view all the answers

What structure serves as the precursor to the central tendon of the diaphragm?

<p>Septum transversum (D)</p> Signup and view all the answers

Which component is responsible for providing muscle to the peripheral portions of the definitive diaphragm?

<p>Lateral body wall (C)</p> Signup and view all the answers

During which weeks does the closure of the pericardioperitoneal canal occur?

<p>Weeks 5 to 7 (D)</p> Signup and view all the answers

What role do the pleuroperitoneal membranes play in diaphragm development?

<p>Seal off the pleural cavities from the peritoneal cavity (B)</p> Signup and view all the answers

Which structure develops into the crura of the diaphragm in adults?

<p>Dorsal mesentery of the esophagus (C)</p> Signup and view all the answers

What primarily causes congenital diaphragmatic hernia?

<p>Failure of the pleuroperitoneal membrane to develop (D)</p> Signup and view all the answers

Which clinical sign is least likely to be associated with congenital diaphragmatic hernia in newborns?

<p>Polyhydramnios (D)</p> Signup and view all the answers

In which location is congenital diaphragmatic hernia most commonly found?

<p>Left posterolateral side (D)</p> Signup and view all the answers

What is the most serious consequence of congenital diaphragmatic hernia?

<p>Pulmonary hypoplasia (C)</p> Signup and view all the answers

Which method is effective for prenatal detection of congenital diaphragmatic hernia?

<p>Ultrasonography (D)</p> Signup and view all the answers

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Study Notes

Pleuropericardial Membrane

  • The pleuropericardial membrane is composed of somatic mesoderm.
  • It acts as a divider between the pericardial cavity and pleural cavities.
  • The pleuropericardial membranes further develop into the fibrous pericardium surrounding the heart.
  • A sagittal section of an embryo showcases the relationship between the pericardial cavity, pleural cavities, and the pleuropericardial membrane.
  • The septum transversum is also visible in the diagram.
  • A red arrow in the diagram indicates the flow of fluid.

Adult Mesenteries Development

  • Adult mesenteries originate from the ventral and dorsal mesenteries present in the embryo's peritoneal cavity.
  • The ventral mesentery gives rise to the lesser omentum, which includes the hepatoduodenal and hepatogastric ligaments.
  • The falciform ligament, coronary ligament, and triangular ligament also develop from the ventral mesentery.
  • The greater omentum, including the gastrorenal, gastrosplenic, gastrocolic, and splenorenal ligaments, originates from the ventral mesentery.
  • The mesentery of the small intestine, mesoappendix, transverse mesocolon, and sigmoid mesocolon are all derived from the ventral mesentery.
  • All adult mesenteries ultimately originate from the dorsal mesentery.

Diaphragm Development

  • The septum transversum is a thick mesoderm mass forming the central tendon of the diaphragm.
  • Paired pleuroperitoneal membranes are sheets of somatic mesoderm, contributing to the diaphragm's crura.
  • The dorsal mesentery of the esophagus forms the diaphragm's crura in adults.
  • The lateral body wall, provides muscle to the peripheral parts of the definitive diaphragm.

Pericardioperitoneal Canal Closure

  • The pleuroperitoneal membranes extend from the posterior body wall and connect to the septum transversum between weeks 5 and 7.
  • This closure prevents communication between the pleural and peritoneal cavities.
  • The membranes form the posterior parts of the diaphragm.
  • Muscle fibers from the body wall invade the developing diaphragm as shown by arrows in diagram B.

Congenital Diaphragmatic Hernia

  • A condition where abdominal contents protrude into the chest cavity due to incomplete diaphragm development.
  • The pleuroperitoneal membrane, responsible for diaphragm formation, fails to develop or fuse completely.
  • Most cases are located on the left side of the diaphragm.
  • Can be life-threatening due to compression of the lungs by the herniated abdominal organs, leading to underdeveloped lungs (pulmonary hypoplasia).
  • Prenatal ultrasound can detect diaphragmatic hernias.
  • Clinical symptoms in newborns include a flat abdomen, difficulty breathing, loud breathing sounds, bowel sounds heard over the chest, and a bluish skin discoloration (cyanosis).

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