Anatomy of Lateral Pelvic Wall and Mass

Question 1

label

Answer 1

Question 2

name the two ligaments present in the lateral pelvic wall?

Answer 2

sacrospinous

sacrotuberous

Question 3

label the muscles (not just ones with arrows)

Answer 3

Question 4

label

Answer 4

Question 5

where do most arteries of the pelvis and perineum arise from?

Answer 5

internal iliac artery

Question 6

what are the arteries of the pelvis/perineum that do not arise from the internal iliac? where do they arise from?

Answer 6

gonadal (ovarian/testicular) - L2 AA

superior rectal artery - continuation of inferior mesenteric

Question 7

3 major branches of the AA?

Answer 7

celiac trunk

superior mesenteric

inferior mesenteric

Question 8

what level does the AA bifurcate into the common iliac arteries?

Answer 8

L4

Question 9

what embryological remnant is present in the pelvis (M and F)? what did it do?

Answer 9

medial umbilical ligament

connected internal iliac to the placenta

Question 10

what arteries are present in M?

what are they called in F?

Answer 10

vesical arteries

vaginal arteries

Question 11

what 3 folds are present on the abdo wall? where are these located?

Answer 11

lateral, medial and median umbilical folds

deep aspect of parietal peritoneum of abdo wall

Question 12

what forms these folds?

Answer 12

lateral - inferior epigastric vessels

medial - remnant of umbilical artery

median - urachus

Question 13

where does the blood supply to the male perineum come from?

Answer 13

internal pudendal artery

Question 14

label, M or F?

Answer 14

Question 15

where does the anterior scrotal artery come from?

Answer 15

external iliac

Question 16

label

Answer 16

Question 17

label

Answer 17

Question 18

in F, what arteries is an anastomosis present between?

Answer 18

uterine and ovarian

uterine and vaginal

Question 19

what is the major arteries that supplies the F perineum?

Answer 19

common iliac

Question 20

where is the main venous drainage of the pelvis?

Answer 20

internal iliac vein

Question 21

what veins form venous plexuses with arteries of the same name in the pelvis?

Answer 21

uterine

ovarian

Question 22

label

Answer 22

Question 23

where does lymph from the superficial perineum drain?

Answer 23

superficial inguinal nodes

Question 24

where does lymph from the superior pelvic viscera drain?

Answer 24

external iliac -> common iliac -> aorta -> thoracic duct -> venous sysem

Question 25

where does lymph from the inferior pelvic viscera drain?

Answer 25

deep perineum -> internal iliac -> common iliac -> aorta -> thoracic duct -> venous sysem

Question 26

what about the lymph of the pelvis is a disadvantage?

Answer 26

high cross over of areas covered

cancer can spread wherever it wants

Question 27

lymph from ovaries?

lymph from testes?

lymph from scrotum?

Answer 27

para- aortic

para aortic

deep inguinal