Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Jean-Louis Petit

Jean Louis Petit
(1674 – 1750)

French surgeon and anatomist, Jean Louis Petit was born in Paris in on March 13, 1674.  His family rented an apartment at his house to Alexis Littre (1658 – 1726), a French anatomist. Petit became an apprentice of Littre at seven years of age, helping him in the dissections for his lectures and at an early age became the assistant in charge of the anatomic amphitheater.

Because of Petit’s dedication to anatomy and medicine, in 1690 at the age of sixteen, became a disciple of a famous Paris surgeon, Castel.

In 1692, Petit entered the French army and performed surgery in two military campaigns. By 1693 he started delivering lectures and was accepted as a great surgeon, being invited to the most difficult operations.  In 1700 he was appointed Chief Surgeon of the Military School in Paris and in the same year he received the degree of Master of Surgery from the Faculty of Paris.

In 1715 he was made a member of the Royal Academy of Sciences and an honorary member of the Royal Society of London. He was appointed by the King as the first Director General of the Royal Academy of Surgery when it was founded in 1731.

Petit’s written works are of historical importance.  “Traite des Maladies des Os” ( A Treatise on Bone Diseases);  “Traite des Maladies Chirurgicales et des Operation” (A Treatise on Surgical Diseases and their Operations” This last book was published posthumously in 1774. He also published a monograph on hemorrhage, another on lachrymal fistula, and others.

He was one of the first to perform choIecystotomy and mastoidotomy. His original tourniquet design for amputations saved many in the battlefield and the design of the same surgical instrument today has not changed much since its invention by him.

His name is remembered in the lumbar triangle, also called the "triangle of Petit", and the abdominal hernia that can ensue through that area of weakness, the lumbar hernia or "Petit's hernia".

Sources:
1. “Jean Louis Petit – A Sketch of his Life, Character, and Writings” Hayne, AP San Fran Western Lancet 1875 4: 446-454
2. “Oeuvres compl?tes de Jean-Louis Petit” 1837 Imprimerie de F. Chapoulaud
3. Extraits de l'eloge de Jean-Louis Petit Ius dans Ia seance publique de I' Academie royale de chirurgie du 26 mai 1750” Louis A. Chirurgie 2001: 126 : 475- 81


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Tenia coli

The term [tenia coli] is Latin and refers to three longitudinal whitish bands of tissue seen on the surface of the colon. An alternate spelling for this term is [taenia coli].

The word [tenia] is Latin are means "ribbon" or "tape". It is a term used to describe tapeworms. [Coli] is also Latin and means "pertaining to the colon". See accompanying image. Click the image for a larger depiction.

The tenia coli are formed by the gathering or grouping of the longitudinal (external) muscle layer found in the components of the digestive system. While in most of the organs the longitudinal layer is spread out around the organ, in the colon the grouping of the fibers form these three longitudinal bands. The contant tonic contraction of these bands of muscle cause the colonic wall to bunch forming sacculations known as "haustra".

The tenia coli of the cecum converge at the base of the vermiform appendix. This is one anatomical constant used by surgeons to localize and identify the vermiform appendix.

There are three tenia coli best seen in the transverse colon. Because of their relationship with the omentum and the transverse mesocolon, two of them are known as the [tenia omentalis] and the [tenia mesocolica] respectively. The third one is free, and is the easiest one to observe; it is called the "free tenia" or [tenia libera].

Abdominal contents (Testut Latarjet 1931)
Image modified from the original from Testut and Latajet, 1931

The tenia are well formed until the distal portion of the sigmoid colon. When it forms part of the rectosigmoid region all three tenia start to dissipate and spread out until they form the longitudinal layer of the rectum.

Since the small intestine is not necessarily always small in relation to the colon (because of food content, intestinal gases, or pathology), the location of the organ and the presence of haustra, as well as the presence of tenia coli and appendices epiploica, is used to recognize the organ as colon.

Sources:
1. "Dorlands's Illustrated Medical Dictionary" 26th Ed. W.B. Saunders 1994
2. "The origin of Medical Terms" Skinner, AH, 1970
3. "Tratado de Anatomia Humana" Testut et Latarjet 8 Ed. 1931 Salvat Editores, Spain
Image modified from the original from Testut and Latajet, 1931

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