DIGESTIVE SYSTEM II. PHARYNX Fornix pharyngis Cavum pharyngis CHOANAE ISTHMUS FAUCIUM ADITUS LARYNGIS RECESSUS PHARYNGEUS TONSILLA PHARYNGEA OSTIUM PHARYNGEUM TUBAE AUDITIVAE: - TORUS TUBARIUS (PLICA SALPINGOPHARYNGEA) - TORUS LEVATORIUS - PLICA SALPINGOPALATINA TONSILLA TUBARIA NASOPHARYNX: Waldeyer lymphoepithelial ring Adenoid facies OROPHARYNX LARYNGOPHARYNX: -RECESSUS PIRIFORMIS -PLICA N. LARYNGEI M. CONSTRICTOR PHARYNGIS SUP. M. CONSTRICTOR PHARYNGIS MEDIUS M. CONSTRICTOR PHARYNGIS INF. - RAPHE PHARYNGIS FASCIA PHARYNGOBASILARIS (LUSCHKA’S SEMILUNAR SPACE) - PARS PTERYGOPHARYNGEA BUCCOPHARYNGEA MYLOPHARYNGEA GLOSSOPHARYNGEA M. CONSTRICTOR PHARYNGIS SUP.: M. CONSTRICTOR PHARYNGIS MEDIUS: -PARS CHONDROPHARYNGEA CERATOPHARYNGEA M. CONSTRICTOR PHARYNGIS INF.: -PARS THYROPHARYNGEA CRICOPHARYNGEA LEVATORS: M. PALATOPHARYNGEUS M. SALPINGOPHARYNGEUS M. STYLOPHARYNGEUS LIG. RETROPHARYNGEUM MEDIANUM OESOPHAGUS PARS CERVICALIS PARS THORACICA - PARS RETROTRACHEALIS - PARS RETROPERICARDIACA Recessus retrooesophageus PARS ABDOMINALIS GASTROOESOPHAGEAL JUNCTION http://www.anatomy.tv/StudyGuides/Images/oesophagus.jpg OESOPHAGOGRAPHY GASTER Regio hypochondriaca sin. Chymus Cardia (Ostium cardiacum) Fornix (fundus) gastricus Incisura cardialis Corpus gastricum Pars pylorica Pylorus (Ostium pyloricum) Paries anterior Paries posterior Curvatura major Curvatura minor Incisura angularis Pars digestoria: Ostium cardiacum Fundus gastricus Canalis gastricus Pars egestoria: Antrum pyloricum (sinus gastricus) Sulcus intermedius Canalis pyloricus Ostium pyloricum Plicae gastricae Sulcus salivarius Glandulae gastricae - mucus - succus gastricus Foveolae gastricae Areae gastricae Gastrin Fibrae obliquae Stratum circulare – m. sphincter pylori Stratum longitudinale Omentum - minus - majus Triangle of Labbé transpyloric line Incisura angularis Pars digestoria Pars egestoria Gastroscopy INTESTINUM TENUE - duodenum - jejunum - ileum Ansae intestinales Mesenterium DUODENUM (duodecim l.) - pars superior (bulbus duodeni), flexura duodeni sup -pars descendens, flexura duodeni inf. -pars horizontalis -pars ascendens Flexura duodenojejunalis M. suspensorius duodeni (ligament of Treitz) Plicae circulares Kerkringi Villi intestinales Glandulae intestinales – crypts of Lieberkuehn Glandulae duodenales Brunneri Plica longitudinalis duodeni Papilla duodeni major Vateri - ductus choledochus - ductus pancreaticus Papilla duodeni minor- ductus pancreaticus accessorius Enteroclysis Jejunoileum JEJUNUM ILEUM upper left part of the inframesocolic space lower right part of the inframesocolic space wider (3-4 cm) narrower (2-3 cm) more plicae circulares fewer plicae circulares 1-2 arcades 2-3 arcades folliculi lymph. solitarii folliculi lymph. aggregati A. mesenterica sup. Peyer patches Ostium ileale Papilla ilealis -labrum superius -labrum inferius Pars inframesocolica INTESTINUM CRASSUM -intestinum caecum -appendix vermiformis -colon ascendens -flexura coli dextra (hepatica) -colon transversum -flexura coli sinistra (lienalis) -colon descendens -colon sigmoideum -rectum Plicae semilunares Haustra coli Taenia mesocolica Taenia omentalis Taenia libera Appendices omentales/epiploicae INTESTINUM CAECUM Recessus retrocaecalis Caecum liberum – mesocaecum APPENDIX VERMIFORMIS Ostium appendicis vermiformis Positio pelvina - lig. appendiculoovaricum Positio retrocaecalis Positio ileocaecalis Positio retroilealis Linea spinoumbilicalis dextra (Monro) - MacBurney’s point Linea bispinalis – Lanz’s point Tonsilla abdominalis COLON ASCENDENS Flexura coli dextra (hepatica) COLON TRANSVERSUM Mesocolon transversum Omentum majus Lig. gastrocolicum Flexura coli sinistra (lienalis) COLON DESCENDENS COLON SIGMOIDEUM Mesosigmoideum Irigography RECTUM Crena ani – anus Ampulla recti - flexura sacralis - plicae transversae recti - plica t.r. media (Kohlrausch) Canalis analis - flexura perinealis - linea anorectalis - columnae anales - sinus anales - valvulae anales - pecten analis - linea anocutanea - zona haemorrhoidalis anatomy_rectum Plexus venosus rectalis M. sphincter ani internus M. sphincter ani externus Rectoscopy Illustrations, photographs, and radiographs were copied from: Atlas der Anatomie des Menschen/Sobotta. Putz,R., und Pabst,R. 20. Auflage. München: Urban & Schwarzenberg, 1993) Netter: Interactive Atlas of Human Anatomy. Windows Version 2.0