Teniae coli | |
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Details | |
Identifiers | |
Latin | taeniae coli |
TA98 | A05.7.03.013 |
TA2 | 2993 |
FMA | 76487 |
Anatomical terminology |
The taeniae coli (also teniae coli or tenia coli) are three separate longitudinal ribbons (taeniae meaning ribbon in Latin) of smooth muscle on the outside of the ascending, transverse, descending and sigmoid colons. They are visible and can be seen just below the serosa or fibrosa. There are three teniae coli: mesocolic, free and omental taeniae coli. The teniae coli contract lengthwise to produce the haustra, the bulges in the colon.
The bands converge at the root of the vermiform appendix. At the rectosigmoid junction, the taeniae spread out and unite to form the longitudinal muscle layer. In the caecum, the ascending colon, the descending colon and sigmoid colon the positions of these bands are fixed. The taenia libera, is placed anteriorly in the caecum, ascending, descending and sigmoid colon, but is placed inferiorly in the transverse colon. The taenia mesocolica is present on the posteromedial surface of the caecum, ascending, descending and sigmoid colon, but is placed posteriorly on transverse colon at the site of attachment of transverse mesocolon. The taenia omentalis is situated posterolaterally in caecum, ascending, descending and sigmoid colon, but is situated on the anterosuperior surface of transverse colon where layers three and four of the greater omentum meet the transverse colon. This change in position is due to the twist in transverse colon. These bands correspond to the outer layer of the muscularis externa, in other portions of the digestive tract.
The teniae coli are regulated by the sacral nerves of the spinal cord, which are under control of the parasympathetic nervous system. [1]
Spaces between the circular bands of taeniae are weak points in the bowel, and are the sites of diverticulosis. Most diverticulosis occur in the sigmoid colon as it is the segment with the highest intraluminal pressure. Diverticulosis does not occur in the rectum as the tenia coli become a continuous muscular layer. Diverticulosis can then become diverticulitis if the patient develops inflammation of the diverticulosis, this whole spectrum of disease is called diverticular disease.
The taeniae coli are important anatomical landmarks often used by surgeons performing an appendectomy to localize the appendix. By following the bands inferiorly along the ascending colon and cecum, the surgeon is able to identify the base of the appendix. [2]
The large intestine, also known as the large bowel, is the last part of the gastrointestinal tract and of the digestive system in tetrapods. Water is absorbed here and the remaining waste material is stored in the rectum as feces before being removed by defecation. The colon is the longest portion of the large intestine, and the terms are often used interchangeably but most sources define the large intestine as the combination of the cecum, colon, rectum, and anal canal. Some other sources exclude the anal canal.
The gastrointestinal tract is the tract or passageway of the digestive system that leads from the mouth to the anus. The GI tract contains all the major organs of the digestive system, in humans and other animals, including the esophagus, stomach, and intestines. Food taken in through the mouth is digested to extract nutrients and absorb energy, and the waste expelled at the anus as faeces. Gastrointestinal is an adjective meaning of or pertaining to the stomach and intestines.
The cecum or caecum is a pouch within the peritoneum that is considered to be the beginning of the large intestine. It is typically located on the right side of the body. The word cecum stems from the Latin caecus meaning blind.
The sigmoid colon is the part of the large intestine that is closest to the rectum and anus. It forms a loop that averages about 35–40 centimetres (14–16 in) in length. The loop is typically shaped like a Greek letter sigma (ς) or Latin letter S. This part of the colon normally lies within the pelvis, but due to its freedom of movement it is liable to be displaced into the abdominal cavity.
In human anatomy, the mesentery, an organ that attaches the intestines to the posterior abdominal wall, comprises the double fold of the peritoneum. It helps in storing fat and allowing blood vessels, lymphatics, and nerves to supply the intestines.
In human anatomy, the inferior mesenteric artery (IMA) is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine from the distal transverse colon to the upper part of the anal canal. The regions supplied by the IMA are the descending colon, the sigmoid colon, and part of the rectum.
The external iliac arteries are two major arteries which bifurcate off the common iliac arteries anterior to the sacroiliac joint of the pelvis.
In the anatomy of humans and homologous primates, the ascending colon is the part of the colon located between the cecum and the transverse colon.
The left colic artery is a branch of the inferior mesenteric artery distributed to the descending colon, and left part of the transverse colon. It ends by dividing into an ascending branch and a descending branch; the terminal branches of the two branches go on to form anastomoses with the middle colic artery, and a sigmoid artery (respectively).
In human anatomy, the transverse colon is the longest and most movable part of the colon.
In the anatomy of humans and homologous primates, the descending colon is the part of the colon extending from the left colic flexure to the level of the iliac crest. The function of the descending colon in the digestive system is to store the remains of digested food that will be emptied into the rectum.
The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet. Its lower boundary is the pelvic floor.
The superior rectal artery is an artery that descends into the pelvis to supply blood to the rectum.
Pelvic splanchnic nerves or nervi erigentes are splanchnic nerves that arise from sacral spinal nerves S2, S3, S4 to provide parasympathetic innervation to the organs of the pelvic cavity.
Sacral splanchnic nerves are splanchnic nerves that connect the inferior hypogastric plexus to the sympathetic trunk in the pelvis.
The hypogastric nerves are the continuation of the superior hypogastric plexus that descend into the pelvis anterior the sacrum and become the inferior hypogastric plexuses on either side of pelvic organs. The hypogastric nerves serve as a pathway for autonomic fibers to communicate between the lower abdomen and pelvis.
The epiploic appendices are small pouches of the peritoneum filled with fat and situated along the colon, but are absent in the rectum.
The following outline is provided as an overview of and topical guide to human anatomy:
The rectum is the final straight portion of the large intestine in humans and some other mammals, and the gut in others. The adult human rectum is about 12 centimetres (4.7 in) long, and begins at the rectosigmoid junction at the level of the third sacral vertebra or the sacral promontory depending upon what definition is used. Its diameter is similar to that of the sigmoid colon at its commencement, but it is dilated near its termination, forming the rectal ampulla. It terminates at the level of the anorectal ring or the dentate line, again depending upon which definition is used. In humans, the rectum is followed by the anal canal, which is about 4 centimetres (1.6 in) long, before the gastrointestinal tract terminates at the anal verge. The word rectum comes from the Latin rēctumintestīnum, meaning straight intestine.
The gastrointestinal wall of the gastrointestinal tract is made up of four layers of specialised tissue. From the inner cavity of the gut outwards, these are the mucosa, the submucosa, the muscular layer and the serosa or adventitia.
Destruction of the sacral spinal cord will eliminate parasympathetic outflow to the hindgut, pelvic organs, and perineum as well as somatic innervation to much of the pelvis and lower limbs. Because it stimulates gut motility and tone, loss of parasympathetic input will result in relaxation and inactivity of the teniæ coli in the descending colon.