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Anatomy Atlases: Atlas of Human Anatomy in Cross Section: Section 6: Pelvis, Perineum, Hip, and Upper Thigh

Atlas of Human Anatomy in Cross Section: Section 6. Pelvis, Perineum, Hip, and Upper Thigh

Plate 6.28

Ronald A. Bergman, Ph.D., Adel K. Afifi, M.D., Jean J. Jew, M.D., and Paul C. Reimann, B.S.
Peer Review Status: Externally Peer Reviewed

Plate 6.28

Upper Left Quadrant

Lower Left Quadrant

Lower Right Quadrant

Upper Right Quadrant

1. Urinary bladder
2. Ligamentum teres (round ligament) of uterus
3. Superficial epigastric a.
4. Pectineus m.
5. Femoral a. and v.
6. Femoral nerve
7. Sartorius m.
8. Iliopsoas m.
9. Rectus femoris m.
10. Ligamentum teres femoris
11. Tensor fascia lata m.
12. Femoral head
13. Gluteus minimus m.
14. Uterus, anterior lip
15. Fascia lata
16. Gluteus medius m.
17. Iliofemoral ligament

18. Acetabulum
19. Obturator internus m.
20. Gluteus maximus m.
21. Superior gemellus.
22. Sciatic nerve
23. Vagina
24. Ischial spine
25. Coccygeus m.
26. Vagina, posterior wall
27. Perirectal fascia
28. Superior rectal a. and v.
29. Uterorectal ligament
30. Coccyx

31. Rectouterine pouch (of Douglas)
32. Rectum, ampulla
33. Ischial spine
34. Tendon m. obturator internus
35. Sciatic nerve
36. Uterovaginal plexus of vv.
37. Femur, greater trochanter
38. Obturator internus m.
39. Trochanteric fossa

40. Pericervical fascia
41. Femoral neck
42. Uterine blood vessels and cardinal ligament
43. Acetabular fossa and acetabular br. of medial femoral circumflex a.
44. Femoral head
45. Vagina, lateral wolf
46. Articular capsule, femoral head
47. Uterovesical ligament
48. Ligamentum teres (round ligament) of uterus
49. Intramural ureter
50. Perivesical fascia
51. Urinary bladder wolf
52. Pubovesical fascia
53. Tendon m. rectus abdominis

This section passes through the tendon of rectus abdominis (53), urinary bladder (1), the heads of the femora (43, 44), left greater trochanter of the femur (37), anterior lip of the uterus (14), vagina (23), ischial spines (24, 33), ampulla of the rectum (32), and the coccyx (30).

Various parts of the supporting fascia and ligaments of the uterus are identified in this section. They lie below the broad ligament identified earlier and are as follows: pubovesical fascia (52), perivesical fascia (50), uterovesical ligament (47), cardinal ligament (cervical ligament of uterus) (42), pericervical fascia (40), and uterorectal ligament (29).

The cardinal ligament is not a discrete structure but rather tough fibrous connective tissue that surrounds pelvic blood vessels and especially the uterine artery as it approaches the uterus.

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