Chapter 16--- anatomy of the female pelvis
The area located posterior to the broad ligament, adjacent to the uterus, which contains the ovaries and fallopian tubes
Adnexa
Peritoneal outpouching located between the bladder in the uterus AKA vesicouterine pouch
Anterior cul-de-sac
Major abdominal artery responsible for supplying the abdomen, pelvis, and lower extremities with oxygenated blood
Aorta
Peripheral arteries of the uterus that lie at the edge of the myometrium
Arcuate arteries
What are the branches of the uterine artery?
Arcuate artery then to radial arteries then to straight arteries and spiral
Pelvic ligament that extends from the lateral aspect of the uterus to the side walls of the pelvis
Broad ligament
What are double folds of the peritoneum?
Broad ligament, suspensory ligament of the ovary
What ligament extends from the lateral aspect of the uterus to the side walls of the pelvis and supports the uterus, tubes, ovaries?
Broad ligaments
Pelvic ligament that extends from the lateral surface of the cervix to the lateral fornix of the vagina and houses the uterine vasculature
Cardinal ligament
What ligament extends from the lateral surface of the cervix to the lateral fornix of the vagina and supports the cervix?
Cardinal ligament
What house is the vasculature of the uterus?
Cardinal ligaments
Pelvic muscle located posteriorly within the pelvis that helps support the sacrum
Coccygeus
External branches of the common iliac arteries
External iliac arteries
Superior portion of the pelvis
False pelvis
What pelvic muscles are lateral and anterior to iliac crest?
Iliopsoas
False pelvis bilateral muscles located lateral to the uterus and anterior to the iliac crest
Iliopsoas muscle
The innominate bones consist of what?
Ilium, ischium, pubic symphysis
Internal branches of the common iliac arteries
Internal iliac arteries
The right and left uterine arteries are branches of what?
Internal iliac arteries
Imaginary line that separates the true pelvis from the false pelvis
Linea terminalis
What pelvic muscles are lateral to the ovaries?
Obturator internus
Paired pelvic muscles located lateral to the ovaries
Obturator internus muscle
The suspensory ligament of the ovary contains what?
Ovarian artery, ovarian vein, lymphatics, ovarian nerves
Pelvic ligament that provides support to the ovary extends from the ovary to the lateral surface of the uterus
Ovarian ligament
What ligament extends from the ovary to the lateral surface of the uterus and supports ovaries?
Ovarian ligaments
Group of pelvic muscles consisting of the levator Ani and coccygeus muscles that provide support to the pelvic organs
Pelvic diaphragm
What pelvic muscles are inferior near the vagina in transverse?
Pelvic diaphragm which includes levator Ani, coccygeus muscle
What pelvic muscles are posterior?
Piriformis
What muscles can be confused with the ovaries or adnexal Mass?
Piriformis muscle or iliopsoas
Paired pelvic muscles located posteriorly that extends from the sacrum to the femoral greater trochanter
Piriformis muscles
The vagina is positioned where to the urethra?
Posterior
A condition that results from the weakening of the pelvic diaphragm muscles and allows for displacement of the uterus, often through the vagina
Prolapse
Arteries that Supply blood to the deeper layers of the myometrium
Radial arteries
Peritoneal outpouching located between the uterus and rectum AKA posterior cul-de-sac and pouch of Douglas
Rectouterine pouch
What pelvic muscles are anterior?
Rectus abdominis
Paired anterior abdominal muscles that extend from the xiphoid process of the sternum to the pubic bone
Rectus abdominis muscles
What are the muscles visualized on a sonogram?
Rectus abdominis,iliopsoas, obturator internus, piriformis, levator ani, coccygeus
What ligaments extends from the uterine cornua to labia majora between the folds of the broad ligament and support the uterine fundus?
Round ligament
The posterior border of the pelvic cavity is marked by what?
Sacrum and coccyx
What bones Mark the boundaries of the pelvic cavity?
Sacrum, coccyx, and innominate bones
Uterine radial artery branch that supplies blood to the basal layer of the endometrium
Straight arteries
Peritoneal outpouching located between the bladder in the uterus AKA anterior cul-de- sac
Vesicouterine pouch
Hammock shaped pelvis muscle group located between the coccyx and pubis consisting of iliococcygeus, pubococcygeus and puborectalis
levator ani muscles
Extraperitoneal space located between the bladder and symphysis pubis that contains fat
Space of retzius
Coiled arteries that Supply blood to the functional layer of the endometrium
Spiral arteries
Inferior portion of the pelvis that contains the uterus, ovaries, Fallopian tubes, urinary bladder, small bowel, sigmoid colon, and rectum
True pelvis
Branches of the internal iliac artery that supplies blood to the uterus, ovaries, and fallopian tubes
Uterine arteries
What ligament extends from the uterus to the sacrum and supports the uterus?
Uterosacral ligament
Abdominal aortic bifurcation vessels
Common iliac arteries
The boundaries of the female pelvis are considered to be from what?
Iliac crest to a group of muscles known as the pelvic diaphragm located at the base of the pelvis
The Bony pelvis consists of what?
Sacrum, coccyx, innominate bones
The uterine arteries Supply blood to where?
Uterus, Fallopian tubes, ovaries
What ligament extends from the ovaries to the pelvic sidewalls and supports ovaries and tubes?
Suspensory ligament of the ovaries, infundibulopelvic
Pelvic ligament that provides support to the ovary and extends from the ovaries to the pelvic sidewalls
Suspensory ligament of the ovary