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Rectum

life science Maturity 11-13 Next article →

The rectum is the final straight section of the large intestine in humans and some other mammals. It plays a vital role in the gastrointestinal tract by serving as a temporary storage site for feces. This organ is located at the end of the sigmoid colon and leads into the anal canal. By holding waste material, the rectum allows the body to manage the timing of waste expulsion. This process is essential for maintaining regular bodily functions and controlling when waste leaves the system.

Rectum-2016-12
Rectum-2016-12

The mechanism of the rectum relies on a coordinated series of muscular and nervous system actions. First, waste material moves from the descending colon into the rectum through peristalsis. Peristalsis refers to the regular, wave-like muscle contractions that push material through the gut. As the rectum fills, its walls expand. This expansion triggers stretch receptors located within the rectal walls. These receptors send signals to the nervous system, creating the urge to defecate. When rectal pressure increases beyond 18 mmHg, the urge to defecate becomes voluntary. If pressure reaches 55 mmHg, a reflex expulsion of the contents occurs.

Rectum-2016-12-hemo
Rectum-2016-12-hemo

To prevent leakage, the body uses several biological structures. An internal anal sphincter and an external anal sphincter work together to keep feces contained. Additionally, the puborectalis muscle stays in a state of resting contraction. During voluntary defecation, the external anal sphincter relaxes along with the puborectalis muscle. This relaxation changes the angle between the rectum and the anus, making it straighter. This straight path facilitates the efficient passage of waste through the anal canal.

Digital rectal exam nci-vol-7136-300
Digital rectal exam nci-vol-7136-300

The anatomy of the rectum is quite specific and changes in shape. An adult human rectum begins at the rectosigmoid junction, near the third sacral vertebra. While its diameter is similar to the sigmoid colon at the start, it widens at the end. This dilated section is called the rectal ampulla, which functions as a storage cavity. The ampulla is shaped similarly to a Roman ampulla. The rectum then terminates at the anorectal ring or the dentate line. Beyond this, the anal canal continues for a short distance before the gastrointestinal tract ends at the anal verge.

Rectum-2016-12
Rectum-2016-12

The internal structure, or microanatomy, of the rectal wall is complex. It features a mucosa lined with a single layer of column-shaped cells. Interspersed among these are goblet cells, which secrete mucus. There is a higher concentration of these goblet cells in the rectum than in other parts of the gastrointestinal tract. Beneath the mucosa lies the lamina propria and a smooth muscle layer called the muscularis mucosa. This is followed by the submucosa of connective tissue and the muscularis propria. The muscularis propria consists of two distinct muscle bands: an inner circular band and an outer longitudinal one.

Rectum-2016-12-hemo
Rectum-2016-12-hemo

Blood supply to the rectum is divided into different zones. The upper two-thirds of the rectum receive blood from the superior rectal artery. This artery is a continuation of the inferior mesenteric artery. The lower third is supplied by the middle and inferior rectal arteries. As the superior rectal artery crosses the pelvic brim, it enters the mesorectum at the level of the S3 vertebra. It then splits into branches that run along the sides and back of the rectum. These branches eventually connect with the middle and inferior rectal arteries within the submucosa.

Digital rectal exam nci-vol-7136-300
Digital rectal exam nci-vol-7136-300

Our understanding of the rectum has evolved through historical study. The name comes from the Latin "rectum intestinum," meaning straight intestine. This was a translation of the Ancient Greek term used by the physician Galen. Galen observed the rectum in animal corpses and noted it was straight. However, the term "straight" is not technically accurate for the human rectum. Much of the modern anatomical knowledge we use today comes from Andreas Vesalius. He provided highly detailed descriptions of the human body in 1543. Medical professionals still use various tools today, such as colonoscopies and MRI scans, to examine this region.

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File:Rectum-2016-12.jpg
Rectum-2016-12.jpg
File:Rectum-2016-12-hemo.jpg
Rectum-2016-12-hemo.jpg
File:Digital rectal exam nci-vol-7136-300.jpg
Digital rectal exam nci-vol-7136-300.jpg
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