Advertisement

The Colon: Normal and Pathologic Anatomy

  • Morton A. Meyers

Abstract

The distinctive haustral contour of the large intestine is provided by three bands of longitudinal muscle the taeniae coli. Since the taeniae are shorter than the length of the colon itself, their tethering action in relation to the circular muscle results in the characteristic haustral sacculations. The colonic haustra are thus organized into three distinct rows, each of which has characteristic anatomic relationships.5

Keywords

Transverse Colon Diverticular Disease Circular Muscle Sinus Tract Choledochal Cyst 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Feldberg MAM, Hendriks MJ, van Waes P: Computed tomography in complicated acute appendicitis. Gastrointest Radiol 10: 289–295, 1985PubMedCrossRefGoogle Scholar
  2. 2.
    Lineback PE: Studies on the musculature of the human colon with special reference to the taeniae. Am J Anat 36–37: 357–383, 1925–1926CrossRefGoogle Scholar
  3. 3.
    Ritchie JA: Movement of segmental constrictions in the human colon. Gut 12: 35–355, 1971Google Scholar
  4. 4.
    Hawkins CF, Hardy TL: On the nature of haustration of the colon. J Fac Radiol 2: 95–98, 1950CrossRefGoogle Scholar
  5. 5.
    Meyers MA, Volberg F, Katzen B, et al: Haustral anatomy and pathology: A new look. I. Roentgen identification of normal patterns and relationships. Radiology 108: 497–504, 1973PubMedGoogle Scholar
  6. 6.
    Meyers MA, Volberg F, Katzen B, et al: Haustral anatomy and pathology: A new look. II. Roentgen interpretation of pathologic alterations. Radiology 108: 505–512, 1973PubMedGoogle Scholar
  7. 7.
    Pace JL, Williams I: Organization of the muscular wall of the human colon. Gut 10: 352–359, 1969PubMedCentralPubMedCrossRefGoogle Scholar
  8. 8.
    Meyers MA, Oliphant M: Ascending retrocecal appendicitis. Radiology 110: 295–299, 1974PubMedGoogle Scholar
  9. 9.
    Collins DC: 71,000 human appendix specimens. A final report summarizing forty years’ study. Am J Proctol 14: 365–381, 1963Google Scholar
  10. 10.
    Wakely CPG: The position of the vermiform appendix as ascertained by an analysis of 10,000 cases. J Anat 67: 277–283, 1933Google Scholar
  11. 11.
    Balthazar EG, Megibow AJ, Hulnick D, et al: CT of appendicitis. AJR 147: 705–710, 1986PubMedCrossRefGoogle Scholar
  12. 12.
    Kottra JJ, Dodds WJ: Duplication of the large bowel. AJR 113: 310–315, 1971CrossRefGoogle Scholar
  13. 13.
    Beyer D, Friedmann G, Müller J: Duplication of the colon: Report of two cases and review of the literature. Gastrointest Radiol 6: 151–156, 1981PubMedCrossRefGoogle Scholar
  14. 14.
    Ravitch MM: Hind gut duplication: Doubling of colon and genital urinary tracts. Ann Surg 137: 588–601, 1953PubMedCentralPubMedCrossRefGoogle Scholar
  15. 15.
    Meyers MA, Volberg F, Katzen B, et al: Angioarchitecture of colonic diverticula: Significance in bleeding diverticulosis. Radiology 108: 249–261, 1973PubMedGoogle Scholar
  16. 16.
    Hughes LE: Postmortem survey of diverticular disease of the colon. I. Diverticulosis and diverticulitis. Gut 10: 336–344, 1969PubMedCentralPubMedCrossRefGoogle Scholar
  17. 17.
    Athanasoulis CA, Baum S. Rosch J, et al: Mesenteric arterial infusions of vasopressin for hemorrhage from colonic diverticulosis. Am J Surg 129: 212–216, 1975PubMedCrossRefGoogle Scholar
  18. 18.
    Casarella WJ, Kanter IE, Seaman WB: Rightsided colonic diverticula as a cause of acute rectal hemorrhage. N Engl J Med 286: 450–453, 1972PubMedCrossRefGoogle Scholar
  19. 19.
    Noer RJ, Hamilton JE, Williams DJ, et al: Rectal hemorrhage: Moderate and severe. Ann Surg 155: 794–805, 1962PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    Mobley JE, Dockerty MB, Waugh JM: Bleeding in colonic diverticulitis. Am J Surg 94: 44–51, 1957PubMedCrossRefGoogle Scholar
  21. 21.
    Meyers MA, Alonso DR, Baer JW: Pathogenesis of massively bleeding colonic diverticulosis: New observations. AJR 127: 901–908, 1976PubMedCrossRefGoogle Scholar
  22. 22.
    Meyers MA, Alonso DR, Gray GF, et al: Pathogenesis of bleeding colonic diverticulosis. Gastroenterology 71: 577–583, 1976PubMedGoogle Scholar
  23. 23.
    Drummond H: Sacculi of the large intestine, with special reference to their relations to the blood vessels of the bowel wall. Br J Surg 4: 407–413, 1916CrossRefGoogle Scholar
  24. 24.
    Arfwidsson S, Dock NG: Pathogenesis of multiple diverticula of the sigmoid colon in diverticular disease. Acta Chir Scand (Suppl) 342: 5–68, 1964Google Scholar
  25. 25.
    Painter NS, Truelove SC, Ardran GM, et al: Seg mentation and the localization of intraluminal pressures in the human colon, with special refer ence to the pathogenesis of colonic diverticula. Gastroenterology 49: 169–177, 1965PubMedGoogle Scholar
  26. 26.
    Baum S, Rosch J, Dotter CT, et al: Selective mes enteric arterial infusions in the management of massive diverticular hemorrhage. N Engl J Med 288: 1269–1272, 1973PubMedCrossRefGoogle Scholar
  27. 27.
    Eisenberg H, Laufer I, Skillman JJ: Arterio graphie diagnosis and management of suspected colonic diverticular hemorrhage. Gastroenterol ogy 64: 1091–1100, 1973Google Scholar
  28. 28.
    Goldberger LE, Bookstein JJ: Transcatheter em bolization for treatment of diverticular hemor rhage. Radiology 122: 613–617, 1977PubMedGoogle Scholar
  29. 29.
    Mitty HA, Efremidis S, Keller RJ: Colonic stric ture after transcatheter embolization for divertic ular bleeding. AJR 133: 519–521, 1979PubMedCrossRefGoogle Scholar
  30. 30.
    Rosenkrantz H, Bookstein JJ, Rosen RJ, et al: Postembolic colonic infarction. Radiology 142: 47–51, 1982PubMedGoogle Scholar
  31. 31.
    Feldberg MAM, Hendricks MJ, van Waes PFGM: Role of CT in diagnosis and management of com plications of diverticular disease. Gastrointest Ra diol 10: 370–377, 1985CrossRefGoogle Scholar
  32. 32.
    Sleisenger MH, Fordtran JS: Gastrointestinal Dis ease. WB Saunders, Philadelphia, 1973, pp 1353–1354Google Scholar
  33. 33.
    Marshak RH, Lindner AE, Pochaczevsky R, et al: Longitudinal sinus tracts in granulomatous colitis and diverticulitis. Semin Roentgenol 11: 101–110, 1976PubMedCrossRefGoogle Scholar
  34. 34.
    Schmidt GT, Lennard-Jones JE, Morson BC, et al: Crohn’s disease of the colon and its distinction from diverticulitis. Gut 9: 7–16, 1968PubMedCentralPubMedCrossRefGoogle Scholar
  35. 35.
    Johnson WD, Roth JLA: Diagnosis and differen tial diagnosis of chronic ulcerative colitis and Crohn’s colitis. In Inflammatory Bowel Disease. Edited by JB Kirsner, RG Shorter. Lea & Febiger, Philadelphia, 1975Google Scholar
  36. 36.
    Meyers MA, Alonso DR, Morson BC, et al: Patho genesis of diverticulitis complicating granuloma tous colitis. Gastroenterology 74: 24–31, 1978PubMedGoogle Scholar
  37. 37.
    Lockhart-Mummery HE, Morson BC: Crohn’s disease of the large intestine. Gut 5: 493–509, 1964PubMedCentralPubMedCrossRefGoogle Scholar
  38. 38.
    Fleischner FG: Diverticular disease of the colon. New observations and revised concepts. Gastroenterology 60: 316–324, 1971PubMedGoogle Scholar
  39. 39.
    McGovern VJ, Goulston SJM: Crohns disease of the colon. Gut 9: 164–176, 1968PubMedCentralPubMedCrossRefGoogle Scholar
  40. 40.
    Morson BC: The muscle abnormality in diverticular disease of the sigmoid colon. Br J Radiol 36: 385–392, 1963CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Morton A. Meyers
    • 1
  1. 1.Department of Radiology, School of MedicineState University of New York at Stony BrookStony BrookUSA

Personalised recommendations