✅ EMBRIOLOGÍA de las CAVIDADES CORPORALES y el DIAFRAGMA 🫁📚
Cavidades Corporales y su Desarrollo
Introducción a las Cavidades Corporales
- Las cavidades corporales son espacios confinados dentro del cuerpo que albergan órganos internos, proporcionando protección, separación y soporte.
Clasificación de las Cavidades
- Se dividen en dos cavidades principales: dorsal (que incluye la cráneo y el conducto vertebral) y ventral (subdividida en torácica y abdominal pélvica).
- La cavidad torácica contiene el corazón y los pulmones; la abdominal pélvica alberga órganos digestivos, urinarios y reproductores.
Formación del Celoma Intrambronario
- El desarrollo del celoma intrambronario comienza en la tercera semana de gestación, tras la gastroelación en el mesodermo lateral.
- Durante esta etapa inicial, pequeñas cavidades se desarrollan en el mesodermo, con una delaminación que forma capas parietal osomática y visceral o esplácnica.
Estructura de las Capas Mesodérmicas
- La capa parietal osomática está adyacente al ectodermo superficial; mientras que la visceral o esplácnica se adosa al endodermo.
- Estas capas darán origen a la soma topleura (pared lateral del cuerpo) y a la esplácnopleura (recubre vísceras).
Evolución de las Cavidades Corporales
- Al inicio de la cuarta semana, el celoma intrambronario se convierte en la cavidad corporal primitiva.
- Esta cavidad representa futuras estructuras como la pericárdica, pleural y peritoneal.
Comunicación entre Porciones del Celoma
- Hasta finales de la cuarta semana, las porciones del celoma permanecen comunicadas con revestimientos viscerales y parietales.
Desarrollo de Membranas Serosas
- La capa parietal osomática formará membranas serosas como el pericardio fibroso; mientras que la visceral formará el epicardio.
Plegamiento Embrionario
- A finales de la tercera semana ocurre un plegamiento embrionario que transforma al embrión de una forma plana a tubular.
Formación de Pliegues Laterales
- Este proceso involucra cuatro pliegues: cefálico, caudal y dos laterales.
Reubicación durante el Plegado Cefálico
- Durante este plegado, el corazón se reubica caudalmente frente al intestino anterior.
Estructuras Derivadas del Mesenterio
- Los mesenterios surgen post plegamiento desde hojas somáticas y viscerales del mesodermo lateral.
Tipos de Mesenterios
- Se discuten dos tipos: ventral (conectando intestino anterior hasta duodeno cercano con hígado), dorsal (desde intestino anterior hasta posterior).
Importancia Estructural
Formation of Body Cavities and the Diaphragm Development
Division of the Coelom
- The division of the intramural coelom into pericardial cavity, pleural cavities, and abdominal cavity occurs with the formation of pleuropericardial membranes, pleuroperitoneal membranes, and the diaphragm.
Development of Membranes
- The separation between pleural cavities and the pericardial cavity happens as lungs grow towards pericardioperitoneal canals.
- Membranous ridges appear on each canal's lateral wall: a pleuropericardial membrane located cranially above developing lungs and a pleuroperitoneal membrane situated caudally below them.
Expansion and Fusion of Membranes
- Pleuropericardial membranes contain common cardinal veins and phrenic nerves; they expand ventrally around the heart as lungs grow, dividing mesenchyme into an outer layer (future thoracic wall) and an inner layer (future fibrous pericardium).
- These membranes grow laterally and eventually fuse at midline with ventral esophageal mesenchyme, separating pericardial from pleural cavities.
Separation of Pleural and Peritoneal Cavities
- Pleuroperitoneal membranes project into pericardioperitoneal canals, fusing with dorsal mesentery of esophagus during week six to separate pleural from peritoneal cavities.
Structure and Function of the Diaphragm
- The diaphragm is a dome-shaped muscular structure that separates thoracic from abdominal cavities.
- Its development involves several embryonic components including dorsal esophageal structures.
Mesodermal Contributions to Diaphragm Formation
- The transverse septum appears in week three as a mass of mesoderm tissue forming a thick connective partition that grows dorsally from ventrolateral embryo body creating a semi-circular division between heart and liver.
Dorsal Mesentery Interaction
- Dorsal mesentery extends sagittally from dorsal thorax to esophagus; it fuses with transverse septum after surrounding esophagus.
Growth Dynamics in Embryonic Development
- Pleuroperitoneal membranes arise from dorsolateral body walls projecting towards pericardioperitoneal canals adjacent to esophagus.
- Some embryology texts state these canals disappear when transverse septum expands; however, Lachman suggests they continue growing until fusion covers transverse septum completely.
Muscle Cell Origin for Diaphragm
- Muscle cells in body wall originate from somites C3-C5 levels penetrating into pleuroperitoneal membranes to form diaphragm musculature.
Expansion Effects on Body Walls
- As lungs grow, their caudal tips open additional space in lateral body walls causing tissue layers to split into two: an outer layer contributing to definitive abdominal wall and an inner layer aiding peripheral diaphragm portions outside those derived from pleuroperitoneal membranes.
Sinuous Configuration Creation
- Further lung expansion leads to costodiaphragmatic recesses forming characteristic dome shape of diaphragm.
Central Tendon Origins Debate
- According to Mur & Artiaga, central tendon originates from transverse septum; Lagman attributes it to central portion of pleuroperitoneal membranes.
Pillars Formation
- Dorsal mesentery generates pillars for diaphragm while remaining contributes to muscular portion.
Changes in Positioning and Innervation
Septum Location During Development
- In week four, transverse septum is positioned anteriorly relative to cervical somites C3-C5.
Myoblast Migration
- By week five, myoblast migration occurs towards developing diaphragm carrying nerve fibers along.
Phrenic Nerve Origin
- Phrenic nerves providing motor innervation originate from ventral branches of cervical spinal nerves C3-C5.
Apparent Descent Explanation
- Rapid growth at dorsal end causes apparent descent of diaphragm during development stages.
Final Positioning by Week Eight
- By week six, developing diaphragm aligns with thoracic somites; by early eighth week its dorsal part reaches first lumbar vertebra level.
Lengthening Phrenic Nerves
- This descent explains long trajectory (approximately 30 cm in adults).
Conclusion on Body Cavities Formation