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Pectinate Line
The pectinate line (dentate line) is a line which divides the upper two-thirds and lower third of the anal canal. Developmentally, this line represents the hindgut-proctodeum A proctodeum is the back ectodermal part of an alimentary canal. It is created during embryogenesis by a folding of the outer body wall. It will form the lower part of the anal canal The anal canal is the part that connects the rectum to the ... junction. It is an important anatomical landmark in humans, and several distinctions can be made based upon the location of a structure relative to this line: Additional images File:Rectoanal jxn.JPG, Microscopic cross section of the anorectal junction. File:Anorectum-en.svg , Anatomy of the anus and rectum File:Gray1078.png, Coronal section of rectum and anal canal. References External links * () {{Authority control Digestive system Anatomic Landmarks ...
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Anal Canal
The anal canal is the part that connects the rectum to the anus, located below the level of the pelvic diaphragm. It is located within the anal triangle of the perineum, between the right and left ischioanal fossa. As the final functional segment of the bowel, it functions to regulate release of excrement by two muscular sphincter complexes. The anus is the aperture at the terminal portion of the anal canal. Structure In humans, the anal canal is approximately long, from the anorectal junction to the anus. It is directed downwards and backwards. It is surrounded by inner involuntary and outer voluntary sphincters which keep the lumen closed in the form of an anteroposterior slit. The canal is differentiated from the rectum by a transition along the internal surface from endodermal to skin-like ectodermal tissue. The anal canal is traditionally divided into two segments, upper and lower, separated by the pectinate line (also known as the dentate line): * upper zone (zona col ...
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Superior Rectal Artery
The superior rectal artery (superior hemorrhoidal artery) is an artery that descends into the pelvis to supply blood to the rectum. Structure The superior rectal artery is the continuation of the inferior mesenteric artery. It descends into the pelvis between the layers of the mesentery of the sigmoid colon, crossing the left common iliac artery and vein. It divides, opposite the third sacral vertebra into two branches, which descend one on either side of the rectum. About 10 or 12 cm from the anus, these branches break up into several small branches. These pierce the muscular coat of the bowel and run downward, as straight vessels, placed at regular intervals from each other in the wall of the gut between its muscular and mucous coats, to the level of the internal anal sphincter; here they form a series of loops around the lower end of the rectum, and communicate with the middle rectal artery (from the internal iliac artery) and with the inferior rectal artery (from the ...
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Pudendal Nerve
The pudendal nerve is the main nerve of the perineum. It carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well as the motor supply to various pelvic muscles, including the male or female external urethral sphincter and the external anal sphincter. If damaged, most commonly by childbirth, lesions may cause sensory loss or fecal incontinence. The nerve may be temporarily blocked as part of an anaesthetic procedure. The pudendal canal that carries the pudendal nerve is also known by the eponymous term "Alcock's canal", after Benjamin Alcock, an Irish anatomist who documented the canal in 1836. Structure The pudendal nerve is paired, meaning there are two nerves, one on the left and one on the right side of the body. Each is formed as three roots immediately converge above the upper border of the sacrotuberous ligament and the coccygeus muscle. The three roots become two cords when the middle and lower root join to fo ...
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Inferior Hypogastric Plexus
The inferior hypogastric plexus (pelvic plexus in some texts) is a network () of nerves that supplies the organs of the pelvic cavity. The inferior hypogastric plexus gives rise to the prostatic plexus in males and the uterovaginal plexus in females. The inferior hypogastric plexus is a paired structure, meaning there is one on the left and the right side of the body. These are located on either side of the rectum in males, and at the sides of the rectum and vagina in females. For this reason, injury to this structure can arise as a complication of pelvic surgeries and may cause urinary dysfunction and urinary incontinence. Testing of bladder function is used in that case to show a poorly compliant bladder, with bladder neck incompetence, and fixed external sphincter tone. Structure The plexus is formed from: * a continuation of the superior hypogastric plexus on either side, at the Sacrum Promontory in the interiliac triangle. At this location, the presacral nerve sits in the mi ...
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Hemorrhoid
Hemorrhoids (or haemorrhoids), also known as piles, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed; the unqualified term ''hemorrhoid'' is often used to refer to the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. If bleeding occurs, it is usually darker. Symptoms frequently get better after a few days. A skin tag may remain after the healing of an external hemorrhoid. While the exact cause of hemorrhoids remains unknown, a number of factors that increase pressure in the abdomen are believed to be involved. This may include constipation, diarrhea, and sitting on the toilet for long periods. Hemorrhoids are also more common during pregnancy. Diagnosis is made by lookin ...
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Inferior Rectal Vein
The lower part of the external hemorrhoidal plexus is drained by the inferior rectal veins (or inferior hemorrhoidal veins) into the internal pudendal vein The internal pudendal veins (internal pudic veins) are a set of veins in the pelvis. They are the venae comitantes of the internal pudendal artery. Internal pudendal veins are enclosed by pudendal canal, with internal pudendal artery and pudendal .... Pathologies involving the Inferior rectal veins may cause lower GI bleeding. Depending on the degree of inflammation, they are given a grade level ranging from 1 through 4. Additional images File:Gray405.png, The perineum. The integument and superficial layer of superficial fascia reflected. References Veins of the torso {{circulatory-stub ...
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Middle Rectal Vein
The middle rectal veins (or middle hemorrhoidal vein) take origin in the hemorrhoidal plexus and receive tributaries from the bladder, prostate, and seminal vesicle. They run lateralward on the pelvic surface of the levator ani to end in the internal iliac vein. Veins superior to the middle rectal vein in the colon and rectum drain via the portal system In the circulatory system of animals, a portal venous system occurs when a capillary bed pools into another capillary bed through veins, without first going through the heart. Both capillary beds and the blood vessels that connect them are co ... to the liver. Veins inferior, and including, the middle rectal vein drain into systemic circulation and are returned to the heart, bypassing the liver. References Veins of the torso {{circulatory-stub ...
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Hepatic Portal System
In human anatomy, the hepatic portal system is the system of veins comprising the hepatic portal vein and its tributaries. It is also called the portal venous system (although it is not the only example of a portal venous system) and splanchnic veins, which is ''not'' synonymous with ''hepatic portal system'' and is imprecise (as it means ''visceral veins'' and not necessarily the ''veins of the abdominal viscera'').Splanchnic circulation. Online Medical Dictionary. URLhttp://cancerweb.ncl.ac.uk/cgi-bin/omd?splanchnic+circulation Accessed on: October 22, 2008. Structure Large veins that are considered part of the ''portal venous system'' are the: *Hepatic portal vein * Splenic vein * Superior mesenteric vein *Inferior mesenteric vein The superior mesenteric vein and the splenic vein come together to form the actual hepatic portal vein. The inferior mesenteric vein connects in the majority of people on the splenic vein, but in some people, it is known to connect on the p ...
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Inferior Mesenteric Vein
In human anatomy, the inferior mesenteric vein (IMV) is a blood vessel that drains blood from the large intestine. It usually terminates when reaching the splenic vein, which goes on to form the portal vein with the superior mesenteric vein (SMV). Structure The inferior mesenteric vein merges with the splenic vein, posterior to the middle of the body of the pancreas. The splenic vein then merges with the superior mesenteric vein to form the portal vein. Tributaries Tributaries of the inferior mesenteric vein drain the large intestine, sigmoid colon and rectum. These include: * left colic vein * sigmoid veins * superior rectal vein * rectosigmoid veins Variation Anatomical variations include the inferior mesenteric vein draining into the confluence of the superior mesenteric vein ''and'' splenic vein and the inferior mesenteric vein draining in the superior mesenteric vein. Clinical significance The inferior mesenteric vein may be damaged during surgery on the body and ...
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Superior Rectal Vein
The inferior mesenteric vein begins in the rectum as the superior rectal vein (superior hemorrhoidal vein), which has its origin in the hemorrhoidal plexus, and through this plexus communicates with the middle and inferior hemorrhoidal veins. The superior rectal vein leaves the lesser pelvis and crosses the left common iliac vessels with the superior rectal artery, and is continued upward as the inferior mesenteric vein In human anatomy, the inferior mesenteric vein (IMV) is a blood vessel that drains blood from the large intestine. It usually terminates when reaching the splenic vein, which goes on to form the portal vein with the superior mesenteric vein (SMV) .... References Veins of the torso Rectum {{circulatory-stub ...
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Vein
Veins are blood vessels in humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary and umbilical veins, both of which carry oxygenated blood to the heart. In contrast to veins, arteries carry blood away from the heart. Veins are less muscular than arteries and are often closer to the skin. There are valves (called ''pocket valves'') in most veins to prevent backflow. Structure Veins are present throughout the body as tubes that carry blood back to the heart. Veins are classified in a number of ways, including superficial vs. deep, pulmonary vs. systemic, and large vs. small. * Superficial veins are those closer to the surface of the body, and have no corresponding arteries. *Deep veins are deeper in the body and have corresponding arteries. *Perforator veins drain from the superficial to the deep veins. These are usually referred to in the lower limbs and feet. *Communic ...
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Inferior Rectal Artery
The inferior rectal artery (inferior hemorrhoidal artery) is an artery that supplies blood to the lower third of the anal canal below the pectinate line. Structure The inferior rectal artery arises from the internal pudendal artery as it passes above the ischial tuberosity. Piercing the wall of the pudendal canal, it divides into two or three branches which cross the ischioanal fossa, and are distributed to the muscles and integument of the anal region, and send offshoots around the lower edge of the gluteus maximus to the skin of the buttock. They anastomose with the corresponding vessels of the opposite side, with the superior and middle rectal arteries, and with the perineal artery. Function The inferior rectal artery supplies oxygenated blood to the anal sphincter and the lower third of the anal canal below the pectinate line. Additional images File:Gray405.png, The perineum. The integument and superficial layer of superficial fascia reflected. See also * Superior ...
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