Large intestine Flashcards
Length of transverse colon
38 cm
Length of sigmoid colon
25 to 38 cm
Length of descending colon
25 cm
Length of Rectum
13 cm
Length of Ascending colon
13 cm
Length of Anal Colon
4 cm
Length of cecum
6 cm
Blood supply of cecum
anterior and posterior cecal artery from ileocolic from SMA
Venous drainage of cecum
anterior and posterior cecal vein from ileocolic vein from SMV
Length of appendix
6 to 10 cm
Most common position of appendix
retrocecal
blood supply of appendix
appendicular artery from ileocolic artery from SMA
venous drainage of appendix
appendicular vein from posterior cecal vein from SMV
what nerve maybe injured in appendectomy
iliohypogastric nerve
most common cause of appendicitis
children: hyperplasia of lymphatic tissue
adult: fecalith
blood supply of ascending colon
Ileocolic and right colic artery from SMA
venous drainage of ascending colon
ileocolic and right colic vein from SMV
blood supply of transverse colon
right colic from SMA
middle colic from SMA
left colic from IMA
venous drainage of transverse colonc
right colic from SMV
middle colic from SMV
left colic from IMV
blood supply of descending colon
left colic from IMA
left sigmoid from IMA
venous drainage of descending colon
left colic from IMV
left sigmoid from IMV
relations of sigmoid colon
anterior 1. male - urinary bladder 2. female - uterus and vagina posterior 1. rectum 2. sacrum
blood supply of sigmoid colon
sigmoid artery from IMA
venous drainage of sigoid colon
sigmoid vein from IMV
location of sigmoid colon
iliac fossa to S3
location of rectum
S3 to tip of coccyx
It is a mucosal infolding that divides the rectum in to 3 parts
valves of houston
blood supply of rectum
- superior rectal from IMA
- middle rectal from Internal iliac artery
- inferior rectal from internal pudendal artery
venous drainage of rectum
- superior rectal to IMV
- middle rectal to Internal iliac vein
- inferior rectal to internal pudendal vein to internal iliac vein
separates the anal canal into superior and inferior part
dentate line
pectinate line
anorectal line
location of anal canal
from puborectalis to anus
location of hemorrhoids
- left lateral
- right anterior
- right posterior
characteristics of the upper part of anal canal
- hindgut
- columnar epithelium
- with anal columns
- sensitive to stretch
- superior rectal vessels
- inferior mesenteric LN
- internal hemorrhoids
characteristic of the lower part of anal canal
- ectoderm
- stratified squamos epithelium
- no anal columns
- sensitive to pain, temperature, pressure, touch
- inferior rectal vessels
- superficiial inguinal LN
- external hemorrhoids
Foregut nerve supply
parasympathetic: vagus nerve
sympathetic: T5 - T9
Midgut nerve supply
parasympathetic: vagus nerve
sympathetic: T5 - T12
Hindgut nerve supply
parasympathetic: pelvic splanchnic nerves S2 - S4
sympathetic: T11 - L2
Pain in foregut
epigastric region
pain in midgut
periumbilical region
pain in hindgut
hypogastric region