Large intestine - Rectum - ontogenesis (including the embryogenesis) Flashcards

(15 cards)

1
Q

From which embryonic part does the rectum develop?

A

The rectum develops from the hindgut, the last portion of the primitive gut tube.

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2
Q

What is the cloaca during embryonic development?

A

The cloaca is a common cavity for digestive, urinary, and reproductive tracts in the early embryo, where waste from both intestines and kidneys initially empties.

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3
Q

What structure separates the digestive and urinary tracts during development?

A

The urorectal septum, a wedge of mesoderm that grows downward to divide the cloaca into two parts.

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4
Q

What are the two parts formed by the urorectal septum?

A

Anorectal canal → becomes the rectum and upper anal canal

Urogenital sinus → becomes the bladder and urethra

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5
Q

At which week does the urorectal septum completely divide the cloaca?

A

By about week 7 of development, the urorectal septum reaches the cloacal membrane and completes the division.

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6
Q

From which germ layer does the rectum and upper anal canal develop?

A

From the endoderm, the innermost embryonic germ layer.

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7
Q

From which germ layer does the lower anal canal (below the pectinate line) develop?

A

From the ectoderm, the outer embryonic germ layer, forming from the proctodeum (anal pit).

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8
Q

What is the proctodeum?

A

An invagination of ectodermal tissue around the anal area that forms the lower anal canal.

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9
Q

What is the pectinate line?

A

The pectinate line marks the junction between the endodermal (upper) and ectodermal (lower) parts of the anal canal.

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10
Q

What is the clinical importance of the pectinate line?

A

It represents a transition zone with differences in epithelium, nerve supply, blood supply, and lymph drainage above and below the line.

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11
Q

By the end of embryogenesis, what major developmental event is completed for the rectum?

A

The rectum is fully separated from the urinary tract and connected to the anal canal.

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12
Q

What tissue layer forms the urorectal septum?

A

The urorectal septum forms from mesoderm, the middle germ layer of the embryo.

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13
Q

When does the cloacal membrane break down to form openings?

A

Around week 8, the cloacal membrane breaks down, creating the openings of the anus and urogenital tract.

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14
Q

What happens if the urorectal septum fails to develop properly?

A

Failure leads to fistulas (abnormal connections) between the rectum and urinary or reproductive tracts (e.g., rectovaginal or rectourethral fistulas).

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15
Q

What is the relationship between the rectum and peritoneum at birth?

A

The upper rectum is partially covered by peritoneum (anterior and lateral sides), while the lower rectum is below the peritoneal reflection (extraperitoneal).

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