Description: The sigmoid colon is the extension of the
mobile descending colon that curves antero-inferiorly from the left side
of the abdomen into the pelvis centrally, and connects with the rectum
which terminates distally at the anal canal. The rectum courses above and
below the most dependent part of the rectouterine pouch. Below, the rectum
'penetrates' the pelvic floor in the posterior pelvic triangle between
the levator ani m. and the
coccygeous m., encircled by the puborectalis m. to reach the anal
canal. The circulation is via the inferior mesenteric a. (sigmoid
colon), the superior and middle rectal a. (rectum). A plexus of recta
veins drains the blood from the area via the superior rectal veins into
the portal system, and the middle and inferior v. to the vena cava. Innervation
is from L1-L3 via the hypogastric plexus. Parasympathetic n. from sacral plexus (S2-S4
), and sympathetic n. from L1-L3 (arising in the lumbar chain ganglia),
reach the s. colon and rectum along with the inferior mesenteric a.
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