Description: The anal canal, a slit in the A-P dimension,
about 2.5-4.0 cm in length, is the terminal part of the large intestine.
Its upper boundry is at the U-shaped Puborectalis m. which delineates
it from the rectum. The canal descends postero-inferiorly between the
levator m. laterally, the
anococcygeal ligament and the central perineal tendon, and is surrounded
by internal and external sphincters. The int. sph. circumscribs the upper
2/3 of the canal, and the ext. sph. circumscribs the lower 2/3 is. The
ext. sph. has three parts; the subcutaneous, the superficial and the deep.
The superfical part is attached to the coccyx posteriorly, and the central
perineal tendon, anteriorly. The superior part of the canal internally
is characterized by a circumferential series of vertical folds or anal
columns, about 20 in numberabout, and 2cm long. Distally, they are joined
to each other by a fold of epithelium, creating an anal sinus above. The
lower part of this series of columns is called the pectinate line. The
circulation above this line is from the sup. rectal a. & v.,
and below the line and for the surrounding muscles, from the inferior
rectal a. & v. The innervation of the canal above the line is via the hypogastric
plexus, and below, from the pudendal n. |