Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
=The Large Intestine.=--The large intestine differs from the small
in size and in fixity of position, lying curved in horseshoe shape
above and around the small intestine. It is five or six feet long,
large in caliber, and is thrown into crosswise folds. It has the same
four _coats_ as the small intestine, but the mucous coat is pale and
smooth, without villi. Its _glands_ are the crypts of Lieberkühn and
the solitary glands. The _arteries_ are branches of the superior and
inferior mesenteric and the _nerves_ come from sympathetic plexuses.
The blind sac lying in the right iliac fossa, with which the large
intestine begins, is called the _cecum_, and into this the ileum
opens, the ileo-cecal valve preventing regurgitation. Just below the
ileo-cecal opening is the _vermiform appendix_, a narrow, worm-like
tube with a blind end, varying in length from one to nine inches, but
generally about four and one-half inches long, which, so far as is
known, is functionless as well as dangerous. People have been born
without an appendix and it has in rare instances grown again after
operation. Its base is located in the living by _McBurney’s point_, a
point two inches from the anterior superior spine of the ilium on a
line drawn from the spine to the umbilicus.
From the cecum the intestine ascends in what is known as the _ascending
colon_ along the abdominal wall at the right to the under surface of
the liver, where it turns in the _hepatic flexure_ abruptly across
the body to the left, passing below the liver, stomach, and spleen
in the _transverse colon_. In the _splenic flexure_ it turns down
the left abdominal wall, the _descending colon_ passing to the crest
of the ilium, where there is another curve, the _sigmoid flexure_,
leading to the _rectum_, which passes for six or eight inches down
along the vertebræ, a little to the left, to the _anus_, the external
opening. This opening is guarded by two _sphincter muscles_, about an
inch apart, the internal and external sphincters. The coils of the
small intestine lie below the transverse colon, covered mostly by the
omentum. The splenic flexure is behind the stomach and below the spleen
and is slightly higher than the hepatic flexure. The sigmoid flexure
can be felt in the left inguinal region in thin people.
The fact that the _rectum_ is somewhat to the left is of importance in
childbirth because if the rectum is packed, it may turn the child’s
head in the wrong direction.
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