GB 21. Rectum, Anal Canal, Ischiorectal Fossa Flashcards
What is the blood suppy of the rectum? [main arteries]
[1] Superior Rectal Arteries
[2] Middle Rectal Arteries
[3] Inferior Rectal Arteries
Which artery (ies) supply the first half of the anal canal?
Superior Rectal Artery
Which artery (ies) supply the lower half of the anal canal?
Middle Rectal Artery + Inferior Rectal Artery
What is the venous drainage of the rectum? [main veins]
[1] Superior Rectal Vein
[2] Middle Rectal Vein
[3] Inferior Rectal Vein
Which vein(s) drains the first half of the anal canal?
Superior Rectal Vein
Which vein(s) drains the second/lower half of the anal canal?
Middle Rectal Vein + Inferior Rectal Vein
What are the 3 muscles that make up the Levator Ani muscle?
[1] Iliococcygeus Muscle
[2] Pubococcygeus Muscle (Puborectalis Muscle)
[3] Ischiococcygeus Muscle
What nerve innervates the Levator Ani muscles?
Pudendal Nerves
What is the Midline Raphe?
where the pubococcygeus muscles insert (into the midline)
What is the sensory innervation of the saddle region (what you sit on)?
S2, S3, S4
What are the nerve roots that innervate the rectum?
S2, S3, S4
What is the Superior Rectal Artery a branch of?
continuation of Inferior Mesenteric Artery
What is the Middle Rectal Artery a branch of?
branch of Internal Iliac Artery
What is the Inferior Rectal Artery a branch of?
branch of Internal Pudendal Artery
Where does the Superior Rectal Vein drain into?
Inferior Mesenteric Vein
Where do the Middle and Inferior Rectal Veins drain into?
directly into the inferior vena cava
List the POSTERIOR branches of the Internal Iliac Artery in MALES.
[1] Iliolumbar Artery
[2] Lateral Sacral Arteries (2)
[3] Superior Gluteal Artery
List the POSTERIOR branches of the Internal Iliac Artery in FEMALES.
[1] Iliolumbar Artery
[2] Lateral Sacral Arteries (2)
[3] Superior Gluteal Artery
List the ANTERIOR branches of the Internal Iliac Artery in MALES.
[1] Umbilical Artery [2] Obturator Artery [3] Internal Pudendal Artery - what comes off of this? [4] Inferior Vesical Artery* [5] Middle Rectal Artery [6] Inferior Gluteal Artery
List the ANTERIOR branches of the Internal Iliac Artery in FEMALES.
[1] Umbilical Artery [2] Obturator Artery [3] Internal Pudendal Artery [4] Vaginal Artery* [5] Middle Rectal Artery [6] Inferior Gluteal Artery [7] Uterine Artery
What is the common area where the rectum begins in both males and females?
3rd sacral segment
Where does the rectum begin and end in males?
Begin: 3rd Sacral Segment
End: Apex Prostate
Where does the rectum begin and end in females?
Begin: 3rd Sacral Segment
End: Lower 1/4 of Vagina
What are the peritoneal relations of the rectum in all 3 parts?
Upper 1/3: Front + Sides
Middle 1/3: Front Only
Lower 1/3: None