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Anal Canal 3 Y '& L 6LS)p6J9jj t s
r'SJ *C-•" 1 Ja t WI • cs— I eui) J5:9
Li":1 V-j1J I 6tS:' tt&jJOCa4asSjl &;L. • rtija.a° •J
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j 3 J.; ..1.9e5 I-1'5i Ca ll-5 I J-9Je° 6IJ itt-tf LA; I Cot
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ra-A. -445.5-- • is Le 65-en-':-.) cry I -,;-1.”-.9 1..,a-zo 15.4) J j
cLJI )1 e; jr?' h3)ts• cfre l 05 J 41 1.! j5 ca.0.01 r4) (it
Lsi.j i tsibiS r_9:5)1.):6 J.:Lae; cinto r.ks 0;14; Jfroj (.5
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Ls Lea:15 ..35).! cAaaj 1 0.15.1 tjc (.5 c),,r77 e&L.., I b
Promontory c-i•
L.)1. Promontory
Promontory
45 l es,
0 -I I.; Rectos igmoid
. rz,l)
(-5 ‘)I LJ:fl 6 j9J J j J5I3
116 J -JP - -43544° C -19i
"9; J)--Si Lei1j-0
••• L5 16_45 1) _L.), 41, 4.; 45 0.-^4 - •
Rectosigmoid
()-4-s-s c-1/4 1 * -J.; -s; (-51€1/41--ei 1t-U- e-e uma-n-: 6 J.*
:..1,c j Jt 4et 0,, 1.0 oilke4jLa 05Jo±L I.:
5,1 1,1d • -1 41.01-", LIASAI:;-41
Endoscopy (Sigmoidoscopy ) I C 05-119454
Lrbet L.1) - )
ca.., I 4.1.41 r &rt.-H.9 -I) Lro ta..9
9
I -LI, OJ,f2 jtLjI 0.L 55i it"4,
cl 01:940 Jib uT
ij ()kr; LiAtS. 5 00 I a; Gk. ta..0
1 L:4-.1 L.3 LA; 4.15.1 Cie I LsALL>1; J J.5
..- J., L.-6.-53 le. (Ilia 6.7:•>JJJI ui.p.6 3 00 I .33
f3 /4—....11) ukt.6.5 uo I xi 06.0 •
ci-Picte JJ L—Q5j I:4'i " 11Z134
tiLli • • • _3 J.1„,,1 Excavatio Rectovesicalis
• J J.51 cit9..0 It); (y: Lai j..!
LL-C-z Rectovaginal ( Dauglas )
L,
Seminal Vesicle
-u; J51-1,* Vagina
Pelvi Rectal (sLikillo;
Pyriformis 4.Lae p.9.; L. obia.a. L 4, crik.
tw I JTJ- """ 119 1-,° k.D.), Sacral Plexus
Leis c-J,..; J t.:•-•stt t-CL
J.9....-wee.
ji 1 /4_9 ii_10 I (.5 Lai .3
4.--S Rectal Fasia f Ntl
0—:,)1-a-c4e. )1 9 tj-49e,Cie l Or2-: c'‘-wl 6 -la )1.; 5 L.5:%1
tat; ..••• eg ae Lie tis 6. I
L!) Rectal Fasia
)5_A.fro Plvic Fasia
.) 11.1 45 -51 -1 -35-t, )lLLjj oJy * je
6 -Lt 6'5 L.:- 'Li-149J° 0-43) Cmel! 45 cSI 6 4X1 • •15.:r 1 L.2;'
Rectovesical Septum ( Prostato Peritoneal membrane)
)16.3 cm% . Denonvillier 6 J L .);
bayet154) C,tht 6.44).6 4t S Lt...1) -15 ° -L4 b ced 5 - : cm L.j.,,P
‘Dauglas e S -Jr) -1
Vagina 5 Nt; (I- I
Rectovaginal Fasia
Perineal Body c5i53 tilt 4-0 C6J ca te
j )1 j r55ac c0.. J NS.) 0.41.> Lautua. 4.3.aa10
*6) LI .9 6 "Lt 635 Ai Cjzial ..)-L)
ti lea e6Q1.).Se J .14144. d Ato Rectal Stalks
Waldeyer s Fasia tg Sta. 0 ljnoT
titwi 1.9 4ZLZ J e J5 L (.5,4 j 1,141 ca .
Rectal 4.; C.:US Coccyx
5 tr.:. 4,a5Lib eAs cjetAlt.,15- J ,J.0.t, j_ca,„ Fasia
-Idisje (di C.a....t.1..iye
Rectal Fasia 3 1,4 Liaa J 603 Lst...1.;
Prerectal Pararectal c---1 6 -14n crO-e• L- I 455
J 1-1---; Rectal Fasia cils. 45
Lk-6-1 r.9-41° Perirectal space 4,:, oakiS
I mas 5 eg L55 Lai csj 1 att.:J ..3 u.15
Pelvi (51-Ai r.4i L:95i21 Levator A.ni
• 4 4)W Rectal
4 sozAt....c, ..L6e0 ..tos, Jae., c,..A.5 r.5) J J
L.;-• ic6) Stalks ;14 l,t1
-15-41,... N•••••:ici
Retrorectal Ls Lai I OLLift r:61) JL cit o5 0,,La.;
Pelvi Rectal
Perirectal 9 Retrorectal (SW
'
tiq-LJA-1 C,)6.-1J-&I -3)1 .5155 4-15-1 Ls I i;" .nt-y• I45i
JLaitJL Ism it) _ Wt
.L1 .A4 ;91 ;Ie.; Les$
tri5-6 tr; las (-51-. 4:"J di sit! 6 -55i (-0-1z"-44•1•43"3-)1 9-: ri;) J
La das.-10:; J J.;14a2 - C Taenia
"i•;) I -3.9t5 dit,5 L5L6
1,45101411 - -4-ts -15 N6J j -1
A
t 001.$) r...e.;
Houston's
te. Transverse Rectal Fold
Ls° Valve
0C1 (•• -L" c59— (-5.Jm. • (s'14; tH
1.0 0.1.9 .iIj 4Jab jaio 1,
j
j -'Vagina
5
All
. „„ 1 _a .
J C1 /244-, J CV-ii5-,0)
Ls".) j, icS) )1 (31.A..0 tjt.L.-e.:. I 65
4).9_•". js. I .4 I L,T C‘w I okiS j1.1i
4-5JahlTH ELasl Ls* °et.; J-41)." rth.) • "US Ito; °.-1
Ampulla Rectal Ampulla
Lit
...u.1.43 Recti
Anal Canal
Coccyx 46) )1 L1/4 1
.1.9 J,J, I JAS Lr)t t L
IC4JS1-'45-13.247:0 EA 4:0„ J arilo L.5 I. tr....0 Lw
LeS*9 j'aP %Sat c')Lasti94) Ischio Rectal
. 4,...,19 le. 0.1 Lai Ls 1A0 I• ° 1.6 at. u
c6c 1 assys; ALL, ls. jt.:17,„i171,1
Ls Levator Ani j_cio 0 I c Lc; 145th
tram' VI 3,5 LtbIso cm.: 41,06 .19 Uo j5..a j2.. 4)
Dentate Line I j e6 I u1s.
(.51 Jos 1;1 L.. Pectinate
. Jet; Muco Cutaneous
ud tire 0,101S0
6 U Anal Columns (JL s Le-art, 45
4-5t- 4i.,-:u -1 3.0 S1-rj- as5.3 cAfo -) •
I-(?- Cs% Anal Valves
J Anal Sinus
••"- cLra--.3 -1,5-; r.r; L=4 11-Cr C.-4.i;£jtjj5
- Lt.,;"-••••91-`)Li° •-) Lrdi-
J-1.0 05 4Lk J &et:
. Jj.5.4.0J..OL$Iybt Le.JU
etho t.kri Lf,Al 0351S,3
cie154i,i Le.)1..k5 Lvis.1,) j-.514,. 1
Inter Sphincteric Line
.1 0-9 • 'LI° le; u° White Line -1-)- 1••.
Hilton Line is c.1/41A,
Pecten
-11÷el Fissure Levis-1jI.i.z aS 41.0
6 "ZS Anus Itb 5 -3 LS5-1- i7;)Lac ,-A-J 1
‘51,-,-3 5 J.4.5z1.)
j—LaflLtfiJet..; Anorectal Line
Coccyx 5 WC C.) 15•L'au, I r4)
L's-te45-4;25-0)-1 -13-44t. 6ect, Litk: NS./ (51-tal l
C-4-"04.51.9 c&L A01 Anal Canal
" LSIOJL 4j5 Urs-C94, FCC) iDTH C.)Te
Lac
..X; Nta • Cyrs itZ —I
Superior Rectal A •Nia a
F ty, Lr.; Ur. 4i. txpi..71 d6
Sup Rectal A tj.Ij Rectosigmoid
Sup Hemorrhoidal A. 0:33.5a
Lkii'.9 J -165 -15-41°. N-"433 U., -11 F.9.P.A" onc jj o5 -)
0--;17... L.; -L;34.e. cn.i 6-t9:sa* tir 5 r4,
Internal Middle Rectal A
Inf Rectal A tai=6"15,' Ca': am, Iliac A.
j J 6 ) Internal Pudendal A
)1 d r)e, U, Coeizro-b
os.1.4)45 Lateral Sacral A
.sM a .4.4caso 051 Li IT 0W.. J-4t. s 14,9
t:-.1.23.4° _41 ç t4OSL LjLe(..v c' °is- )1 to
Jj.9.n° c.55 L?" 4:1* L2.9
1.it` T
Sup Mesentric
(.5; Au, j
3 Median Sacral.
c-Ctia; -1/46 -1,to u5 JLb&js &e
IT
-/-13-4•Jea tr -1/4.95 Lf
Lr---; ttc; -Cu.9 140 Sup Rectal V
•
cstr, 4-U Middle Rectal V Inf Rectal V
-i_irtno krt. Lim!' Common Iliac V
Lrtf-1-1,19.9 L,LsinI Ott Anal Canal e6
•
L.L—J —Ts
4.—)1 f -34 c_SJ 3 44 JS 1J $1-4t-^.1/1Z
-a -tic Le".4 .4.9.0. 0.213 t,toJ,iI b.) IT • it6i (.55 Lia) sU- ..j.ja.! cs,
C-'-tri°5 -3-"Lf Principal Lymphatic gland 01.01 (its)
Cisternachyli (5.9 1-7.0 1-F-C1
- 0 z. 665 uli46i 5 iicnHJ -35 (4,5 °re Ldtr°5 cin,-1. 51 L--7511'J -I 45
•
It
Cisterna Chyli •Jil.9 "Lao., 019
015J.9-6-I X.),Urgi Thoracic Duct
. J.; jIJ 3.9.fr J1 j JI-Z lit.
Epiintestinal 4-:
J5d JJ)Jla JS LOJsIj I
Para Intestinal
45.1 1-6 L14) J Nodes
X) Jill -OA.... 5 C-5-15-; Ur' vis).0 Nodes
id -LC jo L.; t.r.Lapl _t
N.61) 4.; 4,L r tar_ C J ti L. .Lae. ja.M. 5.o 16/.4 a
Inf Mesentric Pelexus
Inf Hypogastric Plexus
J 55. "5-)&ito... Pre aortic cs1J. 6.12 4. I JI J
-u—tinvo Erigent Nerves
a; V .1.41 C:"5:fra jrj le .5; 015.93 I 01 (6.1 L. SC)
1 0
Intra Lumen 4.31.s.3 JJ-4, I -3 j l..1-̀ 45 01.6.9k9za F.9:5J 4. t, Loi
"1".AIS ""trt (C5:41-ZZ Y •- j-9J
L L)IS te - it,ct c.) I se; 6-; JU
15,ae.G I ht.) sm. 1...; c1/4 I c.) .4.4 1 .1.4 toi.; ti,t) J3
J. 9 )5 1;4. 046". • •1 61)-9..)
c..19S 1-;_95 LP; t; 0 1..0-L. Lkami
Valsalva 0 LJsLsUa 5 y,
-Jitseo. tezi
Mechanism
L J-4 j, JA-i't" CO-bS JsI, o.9
J ..11:\ (.111_;. cjet °et) 4195 co J.! Losl
'1-255 J.9-2?° (.;?"-,L° Li co-1.9S 0 -Lit °U.93-
•13.2`...,,o
.P.•.9 4;119J riS Y"IA• Jj 6cI Ei9-0°Y.J.Se.
-LiZatto. 1..1:3 out Litgzisu - -fly .9 Lr.i. y • _35
1.0.—e.:9-olj to J.; Ltie J b.; 6 t 4.1 tic; iji o J
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