Surgery I, II - lecture
Anatomy of the large intestine
Large intestine – intestinum crassum
-
is the last part of the digestive tube, which receives mushy to liquid contents from the small
intestine - chymus.
In the colon,
water and electrolytes are absorbed from chyme. The contents of the colon are
formed in the stool. The length of the colon is 1.2-1.5 m and the width of the colon is approximately 4-7.5 cm.
We differentiate the following
sections of the colon:
- caecum (intestinum
caecum) – the widest part, located in the right iliac fossa and
ileocaecal insertion on the left side of the caecum, appendix
vermiformis – attached to the blind-ended lower end of the caecum;
- colon (bowel)
– the main part of the colon that includes:
- colon
ascendens (ascending colon) – from the appendix on
the right side up under the liver;
- colon
transversum (transverse colon) – from right to left
under the liver and stomach towards the spleen;
- colon
descendens (descending colon) – on the left side of
the abdominal cavity from the spleen to the left iliac fossa;
3.
colon sigmoideum – from the end of the colon descendens to
the middle
Between the
sections of the colon we find typical bends:
- flexura coli
dextra – under the liver (the right colic flexure - hepatic
flexure), between the colon ascendens and transversum;
- flexura coli
sinistra – under the spleen (the left colic flexure - splenic
flexure), between the colon transversum and descendens, higher than the
right flexure;
For more
detailed information see anatomy and histology, physiology.
Frank H. Netter,
Netter atlas of human anatomy. 2005