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The ascending colon is smaller in calibre than the cecum from where it starts. It passes upward, opposite the colic valve, to the under surface of the right lobe of the liver, on the right of the gall-bladder, where it is lodged in a shallow depression, the colic impression; here it bends abruptly forward and to the left, forming the right colic flexure (hepatic) where it becomes the ...
The waste material is pumped upwards toward the transverse colon by peristalsis. The ascending colon is sometimes attached to the appendix via Gerlach's valve. In ruminants, the ascending colon is known as the spiral colon. [16] [17] [18] Taking into account all ages and sexes, colon cancer occurs here most often (41%). [19]
The appendix is also used as a means to access the colon in children with paralysed bowels or major rectal sphincter problems. The appendix is brought out to the skin surface and the child/parent can then attach a catheter and easily wash out the colon (via normal defaecation) using an appropriate solution. [27]
Its main function is to absorb water and salts. The colon is further divided into: Cecum (first portion of the colon) and appendix; Ascending colon (ascending in the back wall of the abdomen) Right colic flexure (flexed portion of the ascending and transverse colon apparent to the liver) Transverse colon (passing below the diaphragm)
During a dissection, the colon could be traced from the rectum, to the sigmoid colon, through the descending, transverse, and ascending sections. The cecum is an end point for the colon with a dead-end portion terminating with the appendix. [8]
Hepatic flexure of colon; The right lower quadrant (RLQ) extends from the median plane to the right of the patient, and from the umbilical plane to the right inguinal ligament. The equivalent term for animals is right posterior quadrant. Important organs here are: Cecum; Appendix; Ascending colon; Right ovary and fallopian tube; Right ureter
The appendix has a mucosa resembling the colon but is heavily infiltrated with lymphocytes. Transition between the different types of epithelium occurs at the junction between the oesophagus and stomach ; between the stomach and duodenum , between the ileum and caecum , and at the pectinate line of the anus .
The mesocolon (the part of the mesentery that attaches the colon to the abdominal wall) was formerly thought to be a fragmented structure, with all named parts—the ascending, transverse, descending, and sigmoid mesocolons, the mesoappendix, and the mesorectum—separately terminating their insertion into the posterior abdominal wall. [2]