{"id":23174,"date":"2018-11-08T12:25:26","date_gmt":"2018-11-08T11:25:26","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&#038;p=12508"},"modified":"2022-05-02T15:53:52","modified_gmt":"2022-05-02T13:53:52","slug":"lanatomie-anale-normale","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/proctologie\/lanatomie-anale-normale\/","title":{"rendered":"L\u2019anatomie anale normale"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"au-niveau-du-canal-anal-et-de-la-region-peri-anale-il-convient-de-connaitre\">Au niveau du canal anal et de la r\u00e9gion p\u00e9ri-anale, il convient de conna\u00eetre :<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong><img fetchpriority=\"high\" decoding=\"async\" class=\"alignright wp-image-5415 size-medium\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2022\/05\/anatomie_normale-293x300-1.jpg\" alt=\"\" width=\"293\" height=\"300\">les glandes d\u2019Hermann et Desfosses<\/strong>, au nombre de 6 \u00e0 10, diss\u00e9min\u00e9es sur la circonf\u00e9rence anale, dont le canal principal s\u2019abouche dans une crypte situ\u00e9e au niveau de la ligne pectin\u00e9e, et \u00e0 l\u2019origine des fistules lorsqu\u2019elles s\u2019infectent ;<\/li><li><strong>les h\u00e9morro\u00efdes internes<\/strong>, entit\u00e9 normale pr\u00e9sente d\u00e8s la naissance, situ\u00e9es dans le canal anal, au dessus de la ligne pectin\u00e9e, dispos\u00e9es en trois paquets principaux ant\u00e9ro-droit, post\u00e9ro-droit et post\u00e9ro-gauche, et \u00e0 l\u2019origine de saignements et\/ou du prolapsus lorsqu\u2019elles sont pathologiques ;<\/li><li><strong>les h\u00e9morro\u00efdes externes<\/strong>, invisibles, situ\u00e9es dans l&rsquo;espace marginal sous-cutan\u00e9 et \u00e0 l\u2019origine des thromboses ou \u00ab crises h\u00e9morro\u00efdaires \u00bb lorsqu\u2019elles sont pathologiques<\/li><li><strong>l&rsquo;appareil sphinct\u00e9rien<\/strong>, constitu\u00e9 d\u2019un double anneau interne musculaire lisse et externe stri\u00e9 ainsi que du faisceau puborectal du muscle \u00e9l\u00e9vateur (ou releveur) de l&rsquo;anus ;<\/li><li><strong>l\u2019espace intersphinct\u00e9rien<\/strong>, situ\u00e9 entre les deux sphincters interne et externe, qui se prolonge, en amont, par l&rsquo;espace intramural dans la paroi rectale, et, en aval, par l&rsquo;espace marginal sous-cutan\u00e9.<\/li><li><strong>l&rsquo;espace ischio-anal<\/strong>, situ\u00e9 dans la fesse, limit\u00e9 en dedans par le sphincter externe, en haut par le muscle \u00e9l\u00e9vateur de l&rsquo;anus et, en bas par la peau.<\/li><li><strong>l&rsquo;espace supral\u00e9vatorien<\/strong>, situ\u00e9 au dessus du muscle \u00e9l\u00e9vateur de l&rsquo;anus.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>&nbsp;Nadia FATHALLAH<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Au niveau du canal anal et de la r\u00e9gion p\u00e9ri-anale, il convient de conna\u00eetre : les glandes d\u2019Hermann et Desfosses, au nombre de 6 \u00e0 10, diss\u00e9min\u00e9es sur la circonf\u00e9rence anale, dont le canal principal s\u2019abouche dans une crypte situ\u00e9e au niveau de la ligne pectin\u00e9e, et \u00e0 l\u2019origine des fistules lorsqu\u2019elles s\u2019infectent ; les [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":23019,"menu_order":5,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":null,"stick-header-meta":null,"header-above-stick-meta":null,"header-main-stick-meta":null,"header-below-stick-meta":null,"astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-23174","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/usersync\/","display_name":"usersync"},"relative_dates":{"created":"Publi\u00e9 8 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 8 novembre 2018","modified":"Mise \u00e0 jour le 2 mai 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 8 novembre 2018 12 h 25 min","modified":"Mise \u00e0 jour le 2 mai 2022 15 h 53 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23174","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":1,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23174\/revisions"}],"predecessor-version":[{"id":23183,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23174\/revisions\/23183"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23019"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=23174"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=23174"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=23174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}