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The appendix (pl.: appendices or appendixes; also vermiform appendix; cecal (or caecal, cæcal) appendix; vermix; or vermiform process) is a finger-like, blind-ended tube connected to the cecum, from which it develops in the embryo.
The cecum or caecum is a pouch within the peritoneum that is considered to be the beginning of the large intestine. [1] It is typically located on the right side of the body (the same side of the body as the appendix, to which it is joined). The word cecum (/ ˈ s iː k əm /, plural ceca / ˈ s iː k ə /) stems from the Latin caecus meaning ...
The ileocolic artery is the lowest branch arising from the concavity of the superior mesenteric artery.It supplies the cecum, ileum, and appendix. It passes downward and to the right behind the peritoneum toward the right iliac fossa, where it divides into a superior and an inferior branch: the inferior gives rise to the appendicular artery and anastomoses with the end of the superior ...
The ileocecal fold (or ileocaecal fold) is an anatomical structure of the human abdomen formed by a layer of peritoneum between the ileum and cecum.The upper border of the ileocecal fold is fixed to the ileum opposite its mesenteric attachment, and the lower border passes over the ileocecal junction to join the mesentery of the appendix (and sometimes the appendix itself as well).
This is important as it indicates that a complete colonoscopy has been performed. The ileocecal valve is typically located on the last fold before entry into the cecum and can be located from the direction of curvature of the appendiceal orifice, in what is known as the bow and arrow sign. [4]
If the appendix is retrocecal (localized behind the cecum), even deep pressure in the right lower quadrant may fail to elicit tenderness (silent appendix). This is because the cecum, distended with gas, protects the inflamed appendix from pressure. Similarly, if the appendix lies entirely within the pelvis, there is typically a complete absence ...
The taeniae coli are important anatomical landmarks often used by surgeons performing an appendectomy to localize the appendix. By following the bands inferiorly along the ascending colon and cecum, the surgeon is able to identify the base of the appendix. [2]
[1] [2] It descends behind the termination of the ileum and enters the mesoappendix of the vermiform appendix. It runs near the free margin of the mesoappendix and ends in branches which supply the appendix. Micrograph of entry point of appendicular arteries (arrows at level of inner muscular layer), not to be confused with a perforation.