Rectum Flashcards

0
Q

Descends along the sacrococcygeal concavity

A

Rectum

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1
Q

Fixed terminal part of the large intestine

A

Rectum

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2
Q

Part of the colon that has

  • no sacculation
  • no appendices epiplocae
  • no mesentery
  • no taenia coli
A

Rectum

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3
Q

In males, it is the part of the rectum that is related anteriorly to the urinary bladder

A

Upper third

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4
Q

In females, the upper third of the rectum is related anteriorly to

A

Cervix and body of the uterus

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5
Q

Part of the rectum covered by peritoneum in its anterior aspect

A

Middle third

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6
Q

In males, the peritoneum covering the rectum is folded onto the urinary bladder to form

A

Recto vesical pouch

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7
Q

On the posterior vaginal wall in females, the peritoneum of the rectum folds to form

A

Recto uterine pouch

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8
Q

Semilunar transverse or horizontal folds in the rectum is called

A

Valves of houston

  • 2 on L: superior, inferior
  • 1 on R: middle
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9
Q

Valve of houston that occasionally encircles the rectal lumen

A

Superior fold

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10
Q

Largest and most constant valve of houston that is found immediately above the rectal ampulla

A

Middle fold

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11
Q

From the embryological hindgut that is enclosed by the mesorectal fascia

A

Mesorectum

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12
Q

Mesorectal fascia continues with a denser condensation of fascia anteriorly called

A

Males: rectovesical fascia of Denonvillier
Females: fascia of rectovaginal septum

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13
Q

Mesorectum contains what structures?

A

Superior rectal a & branches
Superior rectal v & tributaries
Lymph vessels and nodes along SRA
Branches from IMPlexus

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14
Q

Arterial supply to the upper 2/3 of the rectum

A

Superior Rectal Artery

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15
Q

Superior rectal artery is a continuation of

A

IMA

16
Q

Superior rectal a divides into 2 branches at what level of the spinal cord

A

S3

17
Q

Provides arterial supply to the muscle of the mid and lower rectum

A

Middle rectal arteries

18
Q

Middle rectal a arise from

A

Ante division of internal iliac a

19
Q

Terminal branches of the internal pudendal a

A

Inferior rectal a

20
Q

Supplies the internal and external anal sphincters, anal canal below its valves, and perianal skin

A

Inferior rectal a

21
Q

Inferior rectal a is a branch of

A

Internal pudendal a

22
Q

Anastomose with the terminal branch of the superior rectal a

A

Ascending branches of inferior rectal a

23
Q

Venous drainage of the rectum

A

Rectal venous plexus

24
Q

Rectal venous plexus connects anteriorly with what plexuses?

A

Male: vesical plexus
Female: utero-vaginal plexus

25
Q

Rectal venous plexus drains to

A

Superior rectal v

26
Q

External part of the rectum: inferior portion is drained by

A

Inferior rectal vein

27
Q

External part of the rectum: middle portion is drained by

A

Middle rectal v

28
Q

External part of the rectum: superior part is drained by

A

Superior rectal v

29
Q

Inferior rectal v drains to

A

Internal pudendal v

30
Q

Middle rectal v is a drains to

A

Internal iliac v - anterior division

31
Q

Superior rectal v drains to

A

IMV

32
Q

T or F: There is a communication between portal and systemic venous systems

A

True

33
Q

Superior rectal veins are formed from the

A

Internal rectal plexus

34
Q

Lymph drainage of the rectum and upper anal canal above dentate line drains into

A

Epirectal nodes in mesorectum