Vermiform Appendix

Introduction :

like diverticulum which arise

°
It in a narrow worm -

from the

posten medial wall about ileocaecal

of caecum 2cm below
junction .

°
It can be 2 to 20cm ( au - 9cm ) .

Width about diameter lumen with

of
°
in 5mm varies
age
.

( in children ) ( children)
also
longer in
mon

•
Three
parts -

La, base
(b)
body
(c) tip

Surface Anatomy :

. The base
y appendix in marked
on
surface by a
point 2cm below the
intersection between the trans tubercular
and
plane right
middaneicular line ( right lateral plane )

Position
.
The
appendix usually lies in
right
iliac
fossa -

•
Base in
fixed but the remaining
part may occupy any g the

following positions ,
which are

indicated hour hand

often with

② ( commonest,
7 clock .

165 28% )
①
.

③
④ -
G H case
.
) ( Rare)
⑦
( 31%
cases .

( 2%1 ⑥
 Peritoneal Relations
°
The
vermiform appendix in an intra peritoneal structure .

• The
appendix in
suspended by a small
triangular fold g
the
derived
peritoneum from the
posterior / left layer of mesentery og

ileum
It called the
mesentery appendix appendix
.

of
is or meso .

Arterial supply
-
:

Supplied by a
single appendicular artery .
a branch g
inferior
division ileo colic
of artery .

Venous
Drainage :

• The vein
corresponds to
artery and drains into the
superior
mesenteric Mein → Portal Vein .

lymphatic Drainage :

drain into ileocolic

The
lymph vessels
of appendix lymph nodes
•

directly or
through appendicular nodes in meso
appendix .

Nerve
Supply :

Sympathetic : Pain sensation ( Tco ) via lesser

splanchnic Nerve &
mesenteric
superior plexus .

Pain umbilical
Region
-
-s
.

Parasympathetic Vagus Nerves : .

Microscopic structure :

Applied :

E for

⑨ Medics (med notes . in ,