Genitalia
Rectum
Topography
Sections
Vessels of the female pelvis
A
• Pars abdominalis aortae
• • A ; V sacralis mediana
• A iliolumbalis
• • A ; V rectalis superior
• • A ; V uterina
N obturatorius
A.; V epigastrica • •
inferior
• • A ; V. rectalis media
• M. levator ani
Aa vesicales superiores •
Nodi lymphoidei iliaci communes
Nodus lymphoideus precavalis
Rectum
Nodus lymphoideus
rectalis superior
• A- vaginalis
• A. pudenda interna
• A, rectalis media
Lig, sacrospinale
Anulus femoralis
Vesica urinaria
Nodi lymphoidei iliaci externi obturatorii
Lig teres uteri
• A. umbilicalis, Pars patens
Uterus, Facies intestinalis
Ureter
Lig. teres uteri
Isthmus tubae uterinae
Lig umbilicale medianum
Nodi lymphoidei preaortici, aortici laterales et retroaortici
Ureter
Nodi lymphoidei iliaci interni
Nodus lymphoideus iliacus externus
N genitofemoralis <»
A,; V iliaca externa • •
A.; V obturatoria • •
Nodi lymphoidei iliaci externi
mediales et laterales
umbilicalis, Pars occlusa •
Chorda arteriae
umbilicalis
Nodi lymphoidei
pararectales
Lig teres uteri"4
Excavatio rectouterina*
Plica rectouterina
Fig. 1167
Lymphatics, Vasa lymphatica, and lymph nodes,
The lymph nodes are frequently much smaller than illustrated
Nodi lymphoidei, of the pelvic wall of the female.
but they are always present. Tumour cells from the uterus can
reach the superficial inguinal lymph nodes via lymphatics of the
round ligament of uterus.
* C linical term : pouch of DOUGLAS
** C linical term : round ligam ent
A. iliaca
communis
A iliaca
interna
A iliaca
externa
obturatoria
Foramen
obturatum
a
Fig. 1168 a-c
Variability of the origin of the obturator artery, A
obturatoria;
medial view.
a
Origin from the anterior branch of the internal iliac artery,
A. iliaca interna ["textbook case”)
b
Origin as an independent branch from the internal iliac
artery, A. iliaca interna
c
Origin from the external iliac artery, A. iliaca externa
Only in 75% of the cases, the obturator artery originates from
the trunk of the internal iliac artery.
