Page 6 of 7
AN52.1-8 | Histology & Embryology (Abdomen & Pelvis) — Glossary
Parietal cell
Oxyntic cell in the gastric fundus/body producing hydrochloric acid and intrinsic factor (essential for vitamin B12 absorption)
Chief cell
Peptic cell in the gastric fundus/body producing pepsinogen, the inactive precursor of the protein-digesting enzyme pepsin
G-cell
Gastrin-secreting endocrine cell in the pyloric antrum; gastrin stimulates parietal cells to produce HCl
Brunner's glands
Submucosal glands unique to the duodenum secreting alkaline mucus to neutralise acidic chyme from the stomach
Peyer's patches
Aggregated lymphoid follicles in the ileal submucosa; part of the gut-associated lymphoid tissue (GALT) for immune surveillance
Kupffer cells
Resident macrophages lining hepatic sinusoids; phagocytose bacteria, old red blood cells, and debris from portal blood
Stellate cells
Ito cells in the hepatic space of Disse that store vitamin A; when activated in liver disease, they produce collagen causing fibrosis and cirrhosis
Portal acinus
Functional unit of the liver centred on the portal triad; zone 1 (periportal) has the best oxygen supply, zone 3 (centrilobular) is most vulnerable to ischaemia
Centroacinar cell
Cell unique to the pancreatic exocrine acinus, located at the centre of the acinus; secretes bicarbonate-rich fluid
Islets of Langerhans
Endocrine clusters in the pancreas: beta cells (insulin), alpha cells (glucagon), delta cells (somatostatin)
Septum transversum
Major embryological source of the diaphragm forming the central tendon; derived from cervical somites C3-C5, hence the phrenic nerve
Bochdalek hernia
Most common congenital diaphragmatic hernia (90%); left posterolateral defect from failure of the pleuroperitoneal membrane to close
Malrotation
Incomplete 270-degree rotation of the midgut around the SMA; caecum remains high with Ladd's bands across the duodenum, risk of midgut volvulus
Hirschsprung's disease
Congenital aganglionosis — failure of neural crest cells to migrate to the distal colon; rectosigmoid most commonly affected; causes functional obstruction
Meckel's diverticulum
Remnant of the vitellointestinal duct; true diverticulum on the anti-mesenteric border of ileum; may contain ectopic gastric or pancreatic mucosa
Horseshoe kidney
Fusion of the inferior poles of both kidneys; ascent arrested at L3 by the IMA; usually asymptomatic but increased risk of infection
Hypospadias
Urethral opening on the ventral surface of the penis from failure of urethral folds to fuse; most common penile anomaly
Cryptorchidism
Undescended testis — failure of testicular descent from posterior abdominal wall to scrotum; risk of infertility and testicular malignancy
Anti-Mullerian hormone
AMH — secreted by Sertoli cells in the embryonic testis; causes regression of the Mullerian (paramesonephric) duct in males
Corpus luteum
Endocrine structure formed from the ruptured ovarian follicle after ovulation; produces progesterone to maintain the endometrium
Z-line
Visible junction at the cardio-oesophageal junction where stratified squamous (oesophageal) epithelium meets simple columnar (gastric) epithelium
Omphalocele
Midline anterior abdominal wall defect at the umbilicus with sac-covered herniation of viscera; associated with chromosomal anomalies
Gastroschisis
Paraumbilical defect (usually right) with uncovered bowel herniation; not associated with chromosomal anomalies