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Pectinate line information


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
Latinlinea pectinata, linea anocutanea
TA98A05.7.05.009
TA23015
FMA29321
Anatomical terminology
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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 in humans, 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[1] superficial inguinal lymph nodes (below Hilton's white line)
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[2] 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 pudendal nerves
  1. ^ MD, Tao Le, MD, MHS, Vikas Bhushan, MD, Matthew Sochat, MD (2017). First aid for the USMLE step 1 2017 : a student-to-student guide. ISBN 978-0071831420.{{cite book}}: CS1 maint: multiple names: authors list (link)
  2. ^ Schoenwolf, Gary C.; Bleyl, Steven B.; Brauer, Philip R.; Francis-West, Philippa H. (2014-12-01). Larsen's Human Embryology. Elsevier Health Sciences. p. 372. ISBN 9781455727919.

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Pectinate line

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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...

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Pectinate

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Look up pectinate in Wiktionary, the free dictionary. Pectinate may refer to: Pectinate line, a line which divides the upper two thirds and lower third...

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Anal canal

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and lower, separated by the pectinate line (also known as the dentate line): upper zone (zona columnaris) mucosa is lined by simple columnar epithelium...

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Human anus

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its length by folds called anal valves, which converge at a line known as the pectinate line. This represents the point of transition between the hindgut...

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Anocutaneous line

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is to the superficial inguinal nodes. The anocutaneous line is slightly below the pectinate line and a landmark for the intermuscular border between internal...

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Hemorrhoid

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hemorrhoidal plexus and externals from the inferior hemorrhoidal plexus. The pectinate line divides the two regions. Hemorrhoids are typically diagnosed by physical...

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Large intestine

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to the anal canal above the pectinate line drain to the internal ileocolic nodes. The anal canal below the pectinate line drains into the superficial...

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Mucous membrane

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of the mouth, gums, lips and the portion of the anal canal below the pectinate line, which are all ectodermal in origin. One of its functions is to keep...

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Inferior rectal artery

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that supplies blood to the lower third of the anal canal below the pectinate line. The inferior rectal artery arises from the internal pudendal artery...

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Proctodeum

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It will form the lower part of the anal canal, below the pectinate line, which will be lined by stratified squamous non-keratinized (zona hemorrhagica)...

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Gastrointestinal wall

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the stomach and duodenum, between the ileum and caecum, and at the pectinate line of the anus. The submucosa consists of a dense and irregular layer of...

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Internal anal sphincter

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layer of smooth muscle of the large intestine. It extends from the pectinate line (anorectal junction) proximally to just proximal to the anal orifice...

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Rectum

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provided by Andreas Vesalius in 1543. Gastrointestinal tract Murphy drip Pectinate line Rectal prolapse Rectal thermometry Nosek, Thomas M. "Section 6/6ch2/s6ch2_30"...

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Anal gland

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canal via ducts that open at the anal valves, just proximal to the pectinate line. Humans have 12 anal glands on average (which are evenly distributed...

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Anal valves

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boundary of an anal sinus. The anal valves demarcate the level of the pectinate line. Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). p. 315....

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Middle rectal artery

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the internal iliac artery. It is distributed to the rectum above the pectinate line. It anastomoses with the inferior vesical artery, superior rectal artery...

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Jejunum

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to absorb nutrients from ingested foodstuffs. The epithelial cells which line these villi have microvilli. The transport of nutrients across epithelial...

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Human digestive system

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colon, descending colon, sigmoid colon, rectum, and the anus above the pectinate line. Blood flow to the digestive tract reaches its maximum 20–40 minutes...

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Sigmoid colon

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It then curves on itself and turns toward the left to reach the middle line at the level of the third piece of the sacrum, where it bends downward and...

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Cecum

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folds Ampulla Anal canal Anus Anal columns Anal valves Anal sinuses Pectinate line Internal anal sphincter Intersphincteric groove External anal sphincter...

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Transanal hemorrhoidal dearterialization

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on their positioning to an embryological line termed the pectinate line. Hemorrhoids above the pectinate line are considered "internal" and those below...

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Ileum

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mesenteric artery and vein), lymphatic vessels and nerve fibers. There is no line of demarcation between the jejunum and the ileum. There are, however, subtle...

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Pyriform sinus

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folds Ampulla Anal canal Anus Anal columns Anal valves Anal sinuses Pectinate line Internal anal sphincter Intersphincteric groove External anal sphincter...

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Intestinal villus

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folds Ampulla Anal canal Anus Anal columns Anal valves Anal sinuses Pectinate line Internal anal sphincter Intersphincteric groove External anal sphincter...

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Rectal venous plexus

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drains mostly into the superior rectal vein superior/proximal to the pectinate line, and into the inferior rectal veins (→internal pudendal vein→internal...

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Adventitia

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folds Ampulla Anal canal Anus Anal columns Anal valves Anal sinuses Pectinate line Internal anal sphincter Intersphincteric groove External anal sphincter...

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Submental space

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folds Ampulla Anal canal Anus Anal columns Anal valves Anal sinuses Pectinate line Internal anal sphincter Intersphincteric groove External anal sphincter...

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Colic flexures

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folds Ampulla Anal canal Anus Anal columns Anal valves Anal sinuses Pectinate line Internal anal sphincter Intersphincteric groove External anal sphincter...

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Duodenum

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duodenum has a mucosa, submucosa, muscularis externa, and adventitia. Glands line the duodenum, known as Brunner's glands, which secrete mucus and bicarbonate...

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