Gut tube

Dorsal mesentery (back) from lower oesophagus to cloaca

Ventral mesentery (front) from lower oesophagus to 1st part of duodenum

Transformation

hollow → occluded → recanulization → definitive hollow

Abnormal recanulization can form duplication, stenosis, or atresia

Stomach formation

Differential growth → greater + lesser curve

  1. 90° clockwise rotation craniocaudally so lesser curvature from ventral → medial, greater curvature dorsal → lateral
  2. Some rotation ventrodorsal axis. Greater curvature faces slightly caudally and lesser cranially

Midgut

  • Undergoes rapid elongation to form primary intestinal loop
  • Primary intestinal loop herniates into umbilical cord
  • Also rotates 90° anticlockwise
  • Week 10 midguts returns to abdo and rotates a further 180° - 270° total
  • Vitelline duct also obliterated

Anal canal

  • Upper 2/3 hindgut - endoderm
  • Lower 1/3 from ectoderm

The function between the two is marked by the pectinate line

Liver & gallbladder

  • Liver expands from outpouching

  • Becomes too large to be contained within the septum transversum (diaphragm) - protrudes into ventral mesentery

  • Rotation of stomach pushes liver up - bare area on liver

  • Liver is about 10% of body weight at this stage (5% at birth)

  • Main function in foetus is haematopoiesis

  • gallbladder outgrowth of bile duct

Pancreas

  • Initially develops as 2 endodermal buds that fuse
  • As the duodenum rotates 90° (as stomach rotates) the ventral bud is carried dorsally
  • Ventral bud forms uncinate process

Spleen

  • Unlike rest of abdo organs, not derived from endoderm - mersoderm derivative
  • Rotation of stomach brings spleen over to lefthand side (from dorsally)
  • Dorsal mesentery becomes ligaments