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o Blood Supply: Uterine artery (from internal iliac artery); artery crosses above the ureter at the

level of the internal os and ascend along the lateral margin of the uterus within the broad
ligament
o Venous Drainage: Uterine vein > internal iliac vein
o Support: chiefly by levator ani
 Subperitoneal condensation of levator ani on the upper surface forming 3 ligaments
 Transverse cervical ligament (cardinal ligament/ligament of Mackenrodt): between
the cervix and upper end of the vagina and lateral pelvic walls
 Pubocervical: either side of the neck of the urinary bladder, passing from the
posterior surface of the pubis
 Sacrocervical: from lower end of sacrum to the upper end of vagina and cervix
o Parts:
 Fundus: above the connection of the fallopian tube to the uterus
 Body: until the dilatation
 Cervix: below the dilatation
 Uterine Cavity: triangular space inside fundus and body of uterus
 upper angles is formed by uterine opening (uterine os)
 lower angle is formed by the internal os
o Relations:
 Anteriorly: uterovesical pouch and superior surface of the urinary bladder (body), superior
surface of the urinary bladder (supravaginal part of the cervix), anterior fornix of the vagina
(Vaginal cervix)
 Posteriorly: Rectouterine (Douglas) Pouch, with coils of ileum and sigmoid
 Laterlally: broad ligament, uterine artery and vein, ureter (supravaginal ureter), lateral
fornix (vaginal cervix)
o Cervical canal: distal continuation of uterine cavity; inferior opening is the external os
o Internal os: communication between uterine cavity and cervical canal
o External os: communication between cervical canal and vaginal canal
o Round ligament of the uterus
 fallopian tube: 10 cm long and lies on the upper border of the broad ligament; connects the peritoneal cavity
with the cavity of the uterus
o Receives ovum, and provides site for fertilization; nourishment and transport to the uterine cavity;
conduit along which the sperm travel to reach the ovum
o Blood Supply: Uterine and ovarian artery
o Venous Drainage: Uterine and ovarian veins
o Lymphatics: internal iliac nodes > paraaortic nodes
o Nerve supply: Inferior hypogastric lexus
o Infundibulum: funnel-shaped lateral end that project beyond the broad ligament and overlies the
ovary
 Fimbriae: finger-like projections
o Ampulla: the widest part of the tube; the usual site of fertilization
o Isthmus: narrowest part of the tube and lies just lateral to the uterus
o Intramural: most medial part that pierces/embedded in the uterine wall
 ovary: 4 x 2 cm, attached to the back of broad ligament, against the lateral pelvic wall in a depression called the
ovarian fossa
o production of ova (female germ cells), production of estrogen and progesterone
o bounded above by external iliac vessels
o bounded behind by internal iliac vessels and ureter
o Blood Supply: ovarian artery (from abdominal artery at L1)
o Venous Drainage: ovarian vein
 Left ovarian > Left renal
 Right ovarian > Inferior vena cava
o Lymphatics: Paraaortic nodes at L1
o Nerve Supply: aortic plexus

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