Rectum - Anatomy & Physiology

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Introduction

The rectum lies between the terminal portion of the descending colon and anus. It is empty most of the time, except after the mass movements of the large intestine which move faeces into the rectum.

Structure

• Exists dorsal to the reproductive organs, bladder and urethra.
• The cranial portion of the rectum is attached to the dorsal body wall by a short mesorectum which is a continuation of the mesocolon.
• The mesorectum is reflected to continue with the parietal peritoneum of the pelvic cavity and to cover the urogenital organs ventrally.
  • This forms the rectogenital pouch.
  • Therefore the most distal part of the rectum is retroperitoneal.
    • This distal, retroperitoneal part is directly attached to the vagina in the female and to the urethra in the male.
    • The retroperitoneal space is filled with soft tissue rich in fat.

Function

'Defeacation

• After the mass movements of the large intestine, the rectum becomes filled with faeces.
• This stimulates pressue sensitive cells in the wall of the rectum and initiates the defeacation reflex.
• The reflex causes a forceful contraction of the rectum, and relaxation of the internal anal sphincter.
  • This produces the conscious sensation of the need to empty the bowel.
  • Some species (see species differences) are able to voluntarily keep the external anal sphincter closed if defeacation is not suitable for the situation.
    • This reduces the defeaction reflex and reduces the conscious perception of needing to empty the bowel, until another mass movement occurs and a fresh reflex is created.

Histology

Rectum

• Epithelium is columnar.
• Goblet cells are present in the mucosa.

Recto-Anal Junction

• Termination of the lamina muscularis and longitudinal layer of the tunica muscularis.
• The circular layer of the tunica muscularis forms the internal anal sphincter.
• The external anal sphincter is formed from skeletal muscle.
• Epithelium changes from columnar to stratified squamous non-keratinised.