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Pectinate line

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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

Thepectinate line(dentate line) is a line which divides the upper two-thirds and lower third of theanal canal.Developmentally, this line represents thehindgut-proctodeumjunction.

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
Lymphdrainage internal iliac[1] superficial inguinal lymph nodes(belowHilton'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 thehindgut) stratified squamous epithelium,non-keratinized (untilHilton's white line,where theanal vergebecomes continuous with the perianal skin containing keratinized epithelium.)
Embryological origin[2] endoderm ectoderm
Artery superior rectal artery middleandinferiorrectal arteries
Vein superior rectal veindraining into theinferior mesenteric veinand subsequently thehepatic portal system middleandinferiorrectal veins
Hemorrhoidsclassification internal hemorrhoids (not painful) external hemorrhoids (painful)
Nerves inferior hypogastric plexus pudendal nerves

Additional images

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References

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  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.ISBN978-0071831420.{{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.ISBN9781455727919.
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  • pelvisat The Anatomy Lesson by Wesley Norman (Georgetown University) (rectum)