Pectinate line
| Pectinate line | |
|---|---|
 Pectinate line labeled at bottom center. | |
 The interior of the anal cami and lower part of the rectum, showing the columns of Morgagni and the anal valves between their lower ends. (Pectinate line visible but not labeled.) | |
| Details | |
| Identifiers | |
| Latin | Linea pectinata, linea anocutanea |
| TA | A05.7.05.009 |
| FMA | 29321 |
The pectinate line (dentate line) is a line which divides the upper two thirds and lower third of the anal canal. Developmentally, this line represents the hindgut-proctodeum junction.
It is an important anatomical landmark, and several distinctions can be made based upon the location of a structure relative to this line:
| Distinction | Above pectinate line | Below pectinate line |
|---|---|---|
| Lymph drainage | internal iliac lymph nodes[1][2][3] | superficial inguinal lymph nodes (below Hilton's white line)[2] |
| Epithelium | columnar epithelium (as is most of the digestive tract - the line represents the end of the part of the body derived from the hindgut) | stratified squamous epithelium, non-keratinized (until Hilton's white line, where the anal verge becomes continuous with the perianal skin containing keratinized epithelium.) |
| Embryological origin | endoderm | ectoderm |
| Artery | superior rectal artery | middle and inferior rectal arteries |
| Vein | superior rectal vein draining into the inferior mesenteric vein and subsequently the hepatic portal system | middle and inferior rectal veins |
| Hemorrhoids classification | internal hemorrhoids (not painful) | external hemorrhoids (painful) |
| Nerves | inferior hypogastric plexus | inferior rectal nerves |
Additional images
Microscopic cross section of the anorectal junction.
Anatomy of the anus and rectum
Coronal section of rectum and anal canal.
References
- ↑ Anne M. R. Agur; Moore, Keith L. (2006). Essential Clinical Anatomy (Point (Lippincott Williams & Wilkins)). Hagerstown, MD: Lippincott Williams & Wilkins. p. 258. ISBN 0-7817-6274-X.
- 1 2 "Pelvis". Retrieved 2007-12-09.
- ↑ MD, Tao Le, MD,MHS, Vikas Bhushan, MD, Matthew Sochat, MD, Max Petersen, Goran Micevic, Kimberly Kallianos, (2014). First aid for the USMLE step 1 2014 : a student-to-student guide. ISBN 978-0071831420.
External links
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