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u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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Page 1: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

..u.e.a I • I J

-3

(3ra) jô•••) c-,e

Lu-, I •

••., J ‘31-Tht- Le.

_

1Y 4,A.;LLco LTort-1'01"Y :

Page 2: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

Cjt--41•-•-•‘.„)

Page 3: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

te-la c- 45 J.Loejl a la- I

/

Page 4: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

C-•

LaJ 1 _

F.9 —... 00.95 )

e t7- Las' l 5 ,35-rP -

Page 5: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

:

r I Ly.41 1.1 F.06

£ ti I jai I c; lab

0 ci t j J -1

y • J 5

4 o54 _ fl

A

j La JL cp-t A

Page 6: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

r9-4 Lf.,:a;1

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

I LiT c.a..)

I 4404- 6 'AZ Itia; 9m5d :) I ) 1.9 ,t.,11; rsfil—

J.9.10°. - -13-4".9 WSJ j 3 -1-lie Lr'.9j ji-ke -3-6-1 .9 Cs Ij L-9jizal

j 3 J.; ..1.9e5 I-1'5i Ca ll-5 I J-9Je° 6IJ itt-tf LA; I Cot

-c• 3 al Lt.-) ,t j • 1-...:1)..LA..4 •

15 Litt c- )1-4c 3 FS /.9.! r aS L Ui

...t5 Leyk,

:

- 6 J.9., 6 ‘z— l uk-0()e-A,rsSL otiat

Ci-CJ 0:249S L-6°-1 65Jj-!

0--9.5,11;-: L. -129St"..; rdlt`f r.2)5 L- )̀.r-ts. 57C)

Page 7: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

-3,-;°JuG—Icii:5-43 r.:550-;tb-;Lj JJI,.4 L55.

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

J.,-;43 -s7f ic6) can (2'u-t- be-S 65 )1-0-: 5 6 -15-:

6761 1.) ra.ci u 139-' lyt Le^ lit/ -3 65cd-1,--;11)1

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 - •

Page 8: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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 •

Page 9: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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

Page 10: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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)

Page 11: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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

Page 12: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

-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

Page 13: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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

Page 14: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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 -) •

Page 15: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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

Page 16: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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

Page 17: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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

Page 18: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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

Page 19: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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)

Page 20: u.e I J -3eprints.ajums.ac.ir/5469/1/m14182.pdfWaldeyer 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

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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