Colon and appendix

Dr. A. C. Oettl Department of Anatomy

Netter plate 242 and 261

R colic/ hepatic flexure

Netter plate 276

45 cm

L colic/ splenic flexure by phrenicocolic ligament

Teniae coli Haustra/sacculations Omental appendices Caliber

Ends at rectosigmoid junction S3 40 cm

Transverse mesocolon R paracolic gutter Mesentery in 25%

Netter plate 263

L paracolic gutter Mesentery in 33%

Sigmoid mesocolon

Netter plate 266

Caecum and appendix

Blind intestinal pouch 7,5 by 7,5 cm surrounded by peritoneum but without a mesentery in the R iliac fossa Caecal folds bound it to the lateral abdominal wall

Netter plate 273

Netter plate 274

Frenula of ileocaecal valve

Appendix

Netter plate 275

Retrocaecal position most common

Middle colic artery Marginal artery

Netter plate 288

Anastomses R colic artery

L colic artery

Sigmoidal arteries

Ileocolic artery
Appendicular branch

Superior rectal artery

Netter plate 291

Netter plate 296

Middle colic LN R colic LN Left colic LN Ileocolic LN

Epicolic LN

Paracolic LN

Netter plate 302

Superior hypogastric plexus

 Rotation of the midgut, p. 507 Meiringet al After elongation the intestinal loop herniateswith pre arterial portion cranially and post arterial portion caudally Rotation 90 counter clockwise: pre arterial loop on the right and post arterial loop on the left A further rotation 90 counter clockwise whilst returning to abdomen Small intestine lies posterior to SMA A further rotation 90 counter clockwise within the abdomen Transverse colon anterior to SMA and caecum migrating to right iliac fossa

Rectum and anus

Dr. A. C. Oettl Department of Anatomy

Netter plate 372

Rectosigmoid junction at the level of S3

Peritoneal coverings of the rectum: Superior 1/3: anterior and lateral Middle 1/3: anterior and Inferior 1/3: no surface

Netter plate 343

Netter plate 371

Netter plate 373

Sharp internal flexures: Superior Intermediate Inferior

Netter plate 374 Grays fig. 5.38, p. 440

Netter plate 378, 379, 388, 390 and 391