Rectum and Anus Flashcards
5 inches long
begins in front of 3rd sacral vertebra passes downward ends in front of the TIP of the COCCYX
RECTAL AMPULLA
MAIN PELVIC CAVITY
VALVES OF HOUSTON
RECTUM
Blood supply of the SUPERIOR RECTAL
IMA – superior rectal a
superior rectal – IMV – portal vein
inferior mesenteric LN
Blood supply of the MIDDLE RECTAL
INTERNAL ILIAC – middle rectal a
internal iliac – middle rectal vein
internal iliac LN
Blood supply of the LOWER RECTAL
INTERNAL PUDENDAL – inferior rectal
inferior rectal – internal pudendal
internal iliac LN
Located in PERINEUM
1 and 1/4 inches (4 cm)
Begins at the level of PUBORECTALIS
sensitive to pain, temperature, touch and pressure
PECTINATE/ANORECTAL/DENTATE LINE
ANAL COLUMNS OF MORGAGNI
ANAL CANAL
Indicates the junction b/w the superior and inferior part
Separates the canal into 2 segments each w/ different embryonic origin, blood supply and innervations
PECTINATE/ANORECTAL/DENTATE LINE
from HINDGUT ENDODERM
(+) ANAL COLUMNS
sensitive to STRECTH
supplied and drained by SUPERIOR RECTAL
inferior mesenteric nodes
UPPER PART OF THE ANAL CANAL
from ECTODERM
(-) anal columns
sensitive to PAIN, TEMP, TOUCH, PRESSURE
supplied and drained by INFERIOR RECTAL
superficial inguinal LN
LOWER PART OF THE ANAL CANAL
3 hemorrhoidal cushions
left lateral
right anterior
right posterior
BLOOD SUPPLY GIT
ENDODERM
foregut - CELIAC
*liver, esophagus, stomach, pancreas, 1st part of duodenum
midgut - SUPERIOR MESENTERIC ARTERY
*2nd part of duodenum, jejunum, ileum, transverse colon (1/2), ascending colon, cecum, appendix
hindgut - INFERIOR MESENTERIC ARTERY
*transverse colon (distal half), descending colon, sigmoid colon, rectum