The yolk sac is a membranous attached to an embryo, formed by cells of the hypoblast layer of the bilaminar embryonic disc. This is alternatively called the umbilical vesicle by the Terminologia Embryologica (TE), though yolk sac is far more widely used. The yolk sac is one of the fetal membranes and is important in early embryonic blood supply. In humans much of it is incorporated into the primordial gut during the fourth week of embryonic development.The Developing Human: Clinically Oriented Anatomy: Chapter 7
The yolk sac is situated on the front (ventral) part of the embryo; it is lined by extra-embryonic endoderm, outside of which is a layer of extra-embryonic mesenchyme, derived from the epiblast.
Blood is conveyed to the wall of the yolk sac by the primitive aorta and after circulating through a wide-meshed capillary plexus, is returned by the vitelline veins to the tubular heart of the embryo. This constitutes the vitelline circulation, which in humans serves as a location of haematopoiesis.
At the end of the fourth week, the yolk sac presents the appearance of a small pear-shaped opening (traditionally called the umbilical vesicle), into the digestive tube by a long narrow tube, the vitelline duct. Rarely, the yolk sac can be seen in the afterbirth as a small, somewhat oval-shaped body whose diameter varies from 1 mm to 5 mm; it is situated between the amnion and the chorion and may lie on or at a varying distance from the placenta. There is no clinical significance to a residual external yolk sac.
As a rule, the vitelline duct undergoes complete obliteration by the 20th week as most of the yolk sac is incorporated into the developing gastrointestinal tract. But in about two percent of cases its proximal part persists as a diverticulum from the small intestine, Meckel's diverticulum, which is situated about 60 cm proximal to the ileocecal valve, and may be attached by a fibrous cord to the abdominal wall at the navel.
Sometimes a narrowing of the lumen of the ileum is seen opposite the site of attachment of the duct.
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