Page 669 - First Aid for the USMLE Step 1 2020, Thirtieth edition [MedicalBooksVN.com]_Neat

RepRoductive ` REPRODUCTIVE—ANATOmy RepRoductive ` REPRODUCTIVE—ANATOmy SectioN iii 625

Female reproductive anatomy
Uterine tube
Infundibulum Ampulla Isthmus Perimetrium
Myometrium
Endometrium Ovarian vessels
Infundibulopelvic Ureter Ovarian ligament
ligament Round ligament

Fimbriae
Uterine fundus Ovary Uterus
Uterine body
Uterine cavity Mesosalpinx (of broad ligament)
Uterine isthmus Mesovarium (of broad ligament)
Mesometrium (of broad ligament)
Internal os
(internal orifice)
Cervical canal Cardinal ligament Bladder
Uterine vessels
Cervical os
(external orifice) Vaginal artery
Vagina
Cervix Anterosuperior view
Posterior view
lIgAmENT CONNECTS STRUCTURES CONTAINED NOTES
Infundibulopelvic Ovaries to lateral Ovarian vessels Ligate vessels during oophorectomy to avoid
(suspensory) pelvic wall bleeding
ligament Ureter courses retroperitoneally, close to gonadal
vessels Ž at risk of injury during ligation of
ovarian vessels
Cardinal (transverse Cervix to side wall of Uterine vessels Ureter at risk of injury during ligation of uterine
cervical) ligament pelvis vessels in hysterectomy
Round ligament of the Uterine horn to labia Derivative of gubernaculum. Travels through
uterus majora round inguinal canal; above the artery of
Sampson
Broad ligament Uterus, fallopian tubes, Ovaries, fallopian Fold of peritoneum that comprises the
and ovaries to pelvic tubes, round mesosalpinx, mesometrium, and mesovarium
side wall ligaments of uterus
Ovarian ligament Medial pole of ovary to Derivative of gubernaculum
uterine horn Ovarian ligament latches to lateral uterus

Adnexal torsion Twisting of ovary and fallopian tube around infundibulopelvic ligament and ovarian ligament
Ž compression of ovarian vessels in infundibulopelvic ligament Ž blockage of lymphatic and
venous outflow. Continued arterial perfusion Ž ovarian edema Ž complete blockage of arterial
inflow Ž necrosis, local hemorrhage.
Associated with ovarian masses. Presents with acute pelvic pain, adnexal mass, nausea/vomiting.

FAS1_2019_15-Repro.indd 625 11/7/19 5:52 PM