12/29/2022 0 Comments Right colic flextureIt is slightly above the transpyloric plane. Lies on the lower part of the left kidney and the diaphragm, behind the stomach and below the lower pole of the spleen.The anterior aspect of the transverse colon forms part of the posterior wall of the omental bursa and is a constituent of the stomach bed.The greater omentum is attached to its anterior taenia and the transverse mesocolon to its superior taenia, thus completing the curtain between the supracolic and infracolic compartments of the greater sac.Extends across the abdominal cavity from the right colic to the left colic flexure.In front and above it is in contact with the colic impression on the right lobe of the liver.Lies on the lower part of the right kidney and the descending part of the abdomen.Posteriorly, the ascending colon lies on:.Posterior surface is usually devoid of a serous coat, but the ascending colon may retain an ascending mesocolon.Ascends on the posterior abdominal wall to reach the right lobe of the liver, where it turns to the left and downwards as the right colic flexure. Abdominal X-ray showed, in addition to a few air filled dilated bowel loops consistent with partial bowel obstruction, a large mass in the left hemi-abdomen.Continuous below with the upper end of the caecum at the intertubercular plane.The femoral nerve and the gonadal vessels.The lateral cutaneous nerve of the thigh, genitofemoral nerve.The iliacus muscle and its fascia, psoas major.About 2.5 cm below the ilecaecal junction, the vermiform appendix opens into its medial aspect.It opens into the upper most part of its medial aspect, the opening being guarded by the ileocaecal valve.Upper end continues into the ascending colon at the intertubercular plane.Lies in the right iliac fossa, below the ascending colon.A transverse mesocolon and sigmoid mesocolon are always present.The ascending and descending colon are usually devoid of a mesocolon, or both, may be present.
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