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Arterial supply
• The superior rectal artery arises from the terminal branch of
the inferior mesenteric artery and supplies the upper rectum.
• The middle rectal artery arises from the internal iliac artery
• The inferior rectal artery arises from the internal pudendal
artery, which is a branch of the internal iliac artery.
• A rich network of collaterals connects the terminal arterioles
of each of these arteries, thus making the rectum relatively
resistant to ischemia
Venous drainage
• The superior rectal vein drains into the portal system via the
inferior mesenteric vein.
• The middle rectal vein drains into the internal iliac vein.
• The inferior rectal vein drains into the internal pudendal vein,
and subsequently into the internal iliac vein.
• A submucosal plexus deep to the columns of Morgagni forms
the hemorrhoidal plexus and drains into all three veins
Lymphatic drainage
• Parallels the vascular supply
• Lymphatic channels in the upper and middle rectum drain
superiorly into the inferior mesenteric lymph nodes
• Lymphatic channels in the lower rectum drain both
superiorly into the inferior mesenteric lymph nodes and
laterally into the internal iliac lymph nodes.
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Perineal usg ravi

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  • 24. Arterial supply • The superior rectal artery arises from the terminal branch of the inferior mesenteric artery and supplies the upper rectum. • The middle rectal artery arises from the internal iliac artery • The inferior rectal artery arises from the internal pudendal artery, which is a branch of the internal iliac artery. • A rich network of collaterals connects the terminal arterioles of each of these arteries, thus making the rectum relatively resistant to ischemia
  • 25. Venous drainage • The superior rectal vein drains into the portal system via the inferior mesenteric vein. • The middle rectal vein drains into the internal iliac vein. • The inferior rectal vein drains into the internal pudendal vein, and subsequently into the internal iliac vein. • A submucosal plexus deep to the columns of Morgagni forms the hemorrhoidal plexus and drains into all three veins
  • 26. Lymphatic drainage • Parallels the vascular supply • Lymphatic channels in the upper and middle rectum drain superiorly into the inferior mesenteric lymph nodes • Lymphatic channels in the lower rectum drain both superiorly into the inferior mesenteric lymph nodes and laterally into the internal iliac lymph nodes.