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Development of the digestive system and body cavities

Development of the digestive system and body cavities


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High Yield Notes
12 pages

Development of the digestive system and body cavities

13 flashcards

USMLE® Step 1 style questions USMLE

1 questions

A patient with suspected appendicitis demonstrates maximal tenderness over the right lower abdomen, two-thirds of the distance from the umbilicus to the anterior superior iliac spine. This inflamed gastrointestinal lining originates from which of the following embryological layers?  


During the third week of development, the embryo is a flat, three-layered disc, and each layer contains germ cells that give rise to the organs and tissues of the body.

The ventral, or bottom, germ layer is called the endoderm, and it forms the lining of the gut tube and the respiratory system.

The middle germ layer is called the mesoderm, and it forms connective tissues like muscles and bones.

And the dorsal, or top, germ layer is called the ectoderm, and it gives rise to the sensory organs like the skin, the eyes, and the central nervous system.

The mesoderm differentiates into the paraxial mesoderm, intermediate mesoderm, and lateral plate mesoderm, and, at around day 19, a space forms in the lateral plate mesoderm.

This space, called the intraembryonic coelom, or cavity, separates the lateral plate mesoderm into dorsal and ventral layers.

The dorsal layer is the parietal mesoderm layer, and its cells adhere to cells from the overlying ectoderm and wrap around the amnion.

The ventral layer is called the visceral mesoderm layer, and its cells adhere to cells from the underlying endoderm, which covers the yolk sac.

The parietal mesoderm gives rise to the serous membranes that line the different cavities in the body, and the visceral mesoderm becomes the serous membrane that covers the lungs, heart, and abdominal organs.

These membranes are really important because they prevent the organs from getting injured as they rub up against each other or against the body wall.

During the fourth week of development, the embryo undergoes structural changes, transitioning from a trilaminar disc into a more cylindrical shape.

The combined visceral mesoderm and endoderm layer, which lines the yolk sac, folds rostrally and caudally, creating a primitive gut tube out of the yolk sac and leaving the remainder of the yolk sac in the middle section of the gut.

While that’s happening, the combined parietal mesoderm and ectoderm folds down with the amnion forming the lateral body folds, which eventually merge and become the anterior body wall of the embryo, or what you might think of as the chest.

This creates a gut tube inside a body tube, or, more simply, a tube inside a tube in the rostral and caudal parts of the embryo.

Summary The primitive digestive system starts developing at around week 3 in the embryo. The primitive gut starts to form when the yolk sac becomes incorporated into the embryo. It then forms a blind-ended tube, which becomes the foregut on the cephalic end, and the hindgut on the caudal end. The middle part of the midgut also forms but remains temporarily attached to the yolk sac via the vitelline duct (yolk stalk). The accessory organs of the digestive system form as outpouchings alongside the primitive gut tube.