Female Genital Organs And Peritoneum

Female Genital Organs and Peritoneum

Department of anatomy Wuhan university school of medicine

Female reproductive system Internal genital organs Gonads: ovaries Uterine tubes

Conveying ducts Uterus vagina

External genital organs: vulva

Sagittal section of female pelvis

Mammary gland

Posterrior view

ovary A. Position: in the fork of the iliac vessels B. Figure: two surfaces Anterior border: hilum of ovary two borders Posterior border

two poles tubal extremity

uterine extremity

C. Ligaments: suspensory ligament of the ovary ovarian ligament

Uterine tube Infundibulum: fimbriae, ovarian fimbria Ampulla Isthmus Uterine part

Posterior view

Uterus ( Womb) A. Position, relation and function Uterovesical pouch Rectouterine pouch B. General features Anteversion Anteflexsion C. Divisions of uterus Four parts ）

Fundus Body Isthmus Cervix

（

Fundus Body Isthmus Cervix orifice

D. Ligaments of uterus Broad lig. Round lig. Sacrouterine lig. Cardinal lig. Pubouterine lig.

horizontal section

Broad ligaments: 1) Contain connective tissue: round ligament uterine tube ovary and ovarian lig. 2) Divisions:

Anterior view

mesosalpinx mesovarium mesometrium

Posterior view

Round lig.

Round lig. Sacrouterine lig. Cardinal lig. Pubouterine lig. Clinical note prolapse Transverse section

Coronal section

Sagittal section

vagina Fornix of vagina posterior fornix of vagina Vaginal orifice -hymen

External genitalia (vulva)

Mons pubis Clitoris Bulbofofvestibule Bulb vestibule

Greater vestibular gland

Greater lip of pudendum Lesser lips of pudendum

External orifice of urethra

Vaginal orifice

Structure

Mammary glands

glandular alveoli lactiferous duct

glandular lobule lactiferous sinus

nipple Suspensory ligaments (cooper’s ligaments) Location and features

Clinical application nipple

glandular lobule lactiferous duct lactiferous sinus

Areola of breast

Suspensory ligaments

2. interperitoneal organs: liver, gallbladder, urinary bladder upper part of the rectum, uterus Parietal peritoneum Peritoneal ascending and descending colon cavity Visceral peritoneum 3. intraperitoneal organs: stomach, superior part of the Relationship between viscera and duodenum, jejunum, ileum,caecum, peritoneum: appendix, transversecolon,sigmoid 1. retroperitoneal organs: colon, spleen, ovary, uterine tube kidneys, suprarenal glands, ureters, major part of duodenum pancreas, middle and inferior part of the rectum

peritoneum

①

②

③

Structures formed by the peritoneum: Omentum Greater omentum Lesser omentum

Greater omentum

Hepatoduodenal lig. Hepatogastric lig. Omental bursa (lesser peritoneal cavity) Omental foramen anterior: hepatoduodenal lig. common bile duct proper hepatic artery hepatic portal vein

Horizontal section

Mesenteries and mesocolons Mesentery:

duodenojejunal flexure

radix of mesentery: Mesoappendix

sacroiliac joint

Transverse mesocolon Sigmoid mesocolon

Transverse mesocolon mesentery Sigmoid mesocolon

Highlight The components of the female internal genital organs The ligaments of the ovary The division of the uterine tube and clinical note of each part The division, posture and ligaments of the uterus The structures formed by the peritoneum Concepts: Posterior fornix of vagina, Suspensory lig. of the mamma Parietal peritoneum, visceral peritoneum, Peritoneal cavity

Ligaments Ligaments around the liver Falciform ligament Ligament teres of liver Coronary ligament Right and left triangular lig. Hepatogastric lig. Hepatoduodenal lig. Bare area

Ligaments of the spleen Lienorenal lig. Gastrosplenic lig. Ligaments of stomach Hepatogastric lig. Gastrosplenic lig. Gastrocolic lig. Suspensory lig. of duodenum (Treitz lig.)

Pouches Rectovesical pouch Vesicouterine pouch Rectouterine pouch (douglas pouch) Peritoneal folds and fossa medial umbilical fold lateral umbilical fold Lateral inguinal fossa Medial inguinal fossa supravesical fossa

median umbilical fold

obliterated urachus

obliterated umbilical arterie inferior epigastric vessels

Subdivision and spaces of peritoneal cavity Supramesocolic compartment (subphrenic space)

Inframesocolic compartment

Right suprahepatic space

Left suprahepatic space

Right subhepatic space

Left subhepatic space

(hepatorenal recess)

(omental bursa)

Right paracolic groove

Left paracolic groove