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Biopsy of the stomach in Ménétrier disease; the substantial pit hyperplasia makes the large rugal folds appear to be covered by myriad polyps resembling hyperplastic polyps. The muscularis propria is the folded structure at the bottom center. Specialty: Gastroenterology
Rugae folds behind the anterior teeth in the hard palate of the mouth. In anatomy, rugae (sg.: ruga) are a series of ridges produced by folding of the wall of an organ. [1]In general, rugae are a biological feature found in many organisms, serving purposes such as increasing surface area, flexibility, or structural support.
This allows the stomach to expand, therefore increasing the volume of the stomach without increasing pressure. [2] They also provide the stomach with an increased surface area for nutrient absorption during digestion. [2] Gastric folds may be seen during esophagogastroduodenoscopy or in radiological studies. [3] [4]
Peritoneal recesses (or peritoneal gutters) are the spaces formed by peritoneum draping over viscera. [1] The term refers mainly to four spaces in the abdominal cavity; the two paracolic gutters and the two paramesenteric gutters. There are other smaller recesses including those around the duodenojejunal flexure, cecum, and the sigmoid colon.
The paramesenteric gutters (paramesenteric recesses or infracolic spaces) are two peritoneal recesses – spaces in the abdominal cavity between the colon and the root of the mesentery. There are two paramesenteric gutters; the left paramesenteric gutter and the right paramesenteric gutter.
In supine patients, infected fluid from the right iliac fossa may ascend in the paracolic gutter to enter the lesser sac. In patients nursed in a sitting position, fluid from the stomach, duodenum, or gallbladder may run down the paracolic gutter to collect in the right iliac fossa or pelvis. This may mimic acute appendicitis or form a pelvic ...
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