Anal canal

The anal canal is the part that connects the rectum to the anus, located below the level of the pelvic diaphragm.^[1] It is located within the anal triangle of the perineum, between the right and left ischioanal fossa. As the final functional segment of the bowel, it functions to regulate release of excrement by two muscular sphincter complexes. The anus is the aperture at the terminal portion of the anal canal.

Anal canal
Anatomy of the anus and rectum
Coronal section through the anal canal. B. Cavity of urinary bladder V.D. Ductus deferens. S.V. Seminal vesicle. R. Second part of rectum. A.C. Anal canal. L.A. Levator ani. I.S. Sphincter ani internus. E.S. Sphincter ani externus.
Details
Precursor	Hindgut, proctodeum
Artery	Superior rectal artery (above pectinate line) and inferior rectal artery (below line)
Vein	Superior rectal vein (above pectinate line) and Inferior rectal vein (below line)
Nerve	Autonomic inferior hypogastric plexus (above pectinate line) and somatic inferior rectal nerves (below line)
Lymph	Superficial inguinal lymph node (below pectinate line) and internal iliac lymph nodes (above line)
Identifiers
Latin	canalis analis
MeSH	D001003
TA98	A05.7.05.001
TA2	3009
FMA	15703
Anatomical terminology [edit on Wikidata]

Structure

In humans, the anal canal is approximately 2.5 to 4 cm (0.98 to 1.57 in) long, from the anorectal junction to the anus.^[2][3][4] It is directed downwards and backwards. It is surrounded by inner involuntary and outer voluntary sphincters which keep the lumen closed in the form of an anteroposterior slit.

The canal is differentiated from the rectum by a transition along the internal surface from endodermal to skin-like ectodermal tissue.

The anal canal is traditionally divided into two segments, upper and lower, separated by the pectinate line (also known as the dentate line):

• upper zone (zona columnaris)
  • mucosa is lined by simple columnar epithelium
  • features longitudinal folds or elevations of tunica mucosa which are joined inferiorly by folds of mucous membrane known as anal valves
  • supplied by the superior rectal artery (a branch of the inferior mesenteric artery)
• lower zone
  • divided into two smaller zones, separated by a white line known as the Hilton's line:
    • zona hemorrhagica - lined by stratified squamous non-keratinized epithelium
    • zona cutanea - lined stratified squamous keratinized epithelium, which blends with the surrounding perianal skin
  • supplied by the inferior rectal artery (a branch of the internal pudendal artery)

The anal verge refers to the distal end of the anal canal, a transitional zone between the epithelium of the anal canal and the perianal skin. It should not be confused with the pectinate line between the upper and lower zones within the anal canal.

The anal gland secretes lymphal discharge and built-up fecal matter from the colon lining. In some animals this gland expungement can be done routinely every 24–36 months to prevent infection and fistula formation.

Relations

• The ischioanal fossa are on each side of the anal canal.
• The perianal space surrounds the anal canal below the white line.
• The submucous space of the canal lies above the white line between the mucous membrane and internal anal sphincter muscle.

Function

The external anal sphincter muscle is the voluntary muscle that surrounds and adheres to the anus at the lower margin of the anal canal. This muscle is in a state of tonic contraction, but during defecation, it relaxes to allow the release of feces.

Movement of the feces is also controlled by the involuntarily controlled internal anal sphincter, which is an extension of the circular muscle surrounding the anal canal. It relaxes to expel feces from the rectum and anal canal.

Additional images

• 
  Anatomy of the anus and rectum
• 
  Left levator ani from within
• 
  The interior of the anal canal and lower part of the rectum
• 
  Median sagittal section of male pelvis
• 
  Median sagittal section of female pelvis

See also

This article uses anatomical terminology.

• Anal columns
• Anal sinuses
• Anal sex

References

1. Madoff, Robert D.; Melton-Meax, Genevieve B. (2020). "136. Diseases of the rectum and anus". In Goldman, Lee; Schafer, Andrew I. (eds.). Goldman-Cecil Medicine. Vol. 1 (26th ed.). Philadelphia: Elsevier. p. 933. ISBN 978-0-323-55087-1.
2. "Anal canal".
3. Anal+Canal at the U.S. National Library of Medicine Medical Subject Headings (MeSH)
4. "Anal Canal - Location, Function and Pictures".

External links

• Pelvis at The Anatomy Lesson by Wesley Norman (Georgetown University)
• Anatomy figure: 44:05-00 at Human Anatomy Online, SUNY Downstate Medical Center — "The rectum and anal canal in the male pelvis"