Blood vessels to female pelvis Flashcards

1
Q

At which vertebral level does the abdominal aorta bifurcate?

A

L4

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2
Q

Where do the common iliac arteries bifurcate?

A

Anterior to the sacroiliac joint

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3
Q

What are the branches of the external iliac artery?

A

Inferior epigastric
Deep circumflex
Femoral

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4
Q

What is the main artery supplying the pelvis?

A

The internal iliac artery

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5
Q

What is the blood supply to the ovaries?

A

Ovarian artery from abdominal aorta

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6
Q

Where do the ovarian arteries arise from?

A

Abdominal aorta at L2

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7
Q

What are the posterior branches of the internal iliac artery?

A

Iliolumbar
Lateral sacral
Superior gluteal
I (iliolumbar) Love (lateral sacral) Going (Superior gluteal)

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8
Q

Which branch is posterior and which is anterior (inferior gluteal vs. superior gluteal artery)?

A

Superior is posterior
Inferior is anterior
I comes before S in the alphabet

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9
Q

How does the inferior gluteal artery leave the pelvis?

A

Via the greater sciatic foramen

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10
Q

How does the iliolumbar artery leave the pelvis?

A

Via the pelvis pelvic inlet

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11
Q

What is the first branch of the posterior branch of the internal iliac artery?

A

The iliolumbar artery

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12
Q

Where does the iliolumbar artery arise from?

A

The posterior branch of the external iliac artery

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13
Q

What is the second branch of the posterior branch of the internal iliac artery?

A

Lateral sacral artery

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14
Q

Where does the lateral sacral artery branch from?

A

The posterior branch of the internal iliac artery

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15
Q

What is the third branch of the posterior branch of the internal iliac artery?

A

Superior gluteal artery

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16
Q

Where does the superior gluteal artery arise from?

A

The posterior branch of the internal iliac artery

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17
Q

How does the superior gluteal artery leave the pelvis?

A

Via the greater sciatic foramen

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18
Q

What is the first branch of the anterior branch of the internal iliac artery?

A

The uterine artery

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19
Q

Which arteries supply the uterus?

A

Uterine and ovarian arteries

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20
Q

What does the uterine artery supply?

A

Uterus, ovaries, fallopian tubes, vagina, round ligament of the uterus + forms an anastomosis with the ovarian artery

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21
Q

What is the uterine artery referred to in males?

A

The artery of the vas deferens

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22
Q

Where does the obturator artery arise from?

A

The anterior branch of the internal iliac artery (second branch)

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23
Q

What does the obturator artery supply?

A

Adductor muscles of the thigh

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24
Q

How does the obturator artery exit the pelvis, what does it supply and where does it arise form?

A

Arises from anterior branch of the anterior branch of internal iliac artery, passes out of the pelvis via the obturator foramen and supplies the adductor muscles of the thigh

25
Q

Where does the umbilical artery arise from?

A

Anterior branch of the internal iliac artery

26
Q

Where does the superior vesical artery arise from?

A

The anterior branch of the internal iliac artery gives rise ot the umbilical artery which gives rise to the superior vesical artery

27
Q

What does the superior vesical artery supply?

A

Upper and middle segments of the urinary bladder

28
Q

Where does the vaginal artery arise from?

A

Anterior branch of the internal iliac artery

29
Q

What does the vaginal artery supply?

A

Vagina (obviously!)

Also the base of the bladder

30
Q

Where does the middle rectal artery arise from?

A

Anterior branch of the internal iliac artery

31
Q

What does the middle rectal artery supply?

A

Rectal muscles

Lower vagina

32
Q

Which rectal artery arises from the internal iliac artery?

A

The middle rectal artery

33
Q

What are the terminal branches of the anterior branch of the internal iliac artery?

A

Inferior gluteal

Internal pudendal

34
Q

What is the course of the pudendal artery?

A

Terminal branch of the anterior branch of the internal iliac artery, leaves the pelvis via the greater sciatic foramen, re-enters via the lesser sciatic foramen and courses through the lateral wall of the ischio-rectal fossa

35
Q

Where does the inferior rectal artery arise from?

A

The internal pudendal artery

36
Q

What does the internal pudendal artery supply

A

Labia, clitoris and perineum

37
Q

Where does the superior rectal artery arise from?

A

Inferior mesenteric artery

38
Q

What does the superior rectal artery supply?

A

Rectum and muscosa

39
Q

Where do superior, middle and inferior rectal arteries arise form?

A
Superior = inferior mesenteric artery
Middle = anterior branch of the internal iliac artery
Inferior = branch of internal pudendal artery
40
Q

What does the internal rectal artery supply?

A

Lower half of the anal canal, internal and external sphincters

41
Q

Where does the median sacral artery arise from?

A

Just above the bifurcation of the aorta at L4

42
Q

What is the blood supply for the posterior surface of the rectum?

A

The median sacral artery

43
Q

Where does the superior rectal vein drain to?

A

Inferior mesenteric vein to hepatic portal vein

44
Q

Where do the middle rectal veins drain to?

A

Internal iliac vein

45
Q

Where do the middle rectal veins arise from?

A

Haemorrhoidal plexus

46
Q

Where do the inferior rectal veins drain?

A

Internal pudendal vein + anastomosis with the superior rectal vein + middle rectal vein

47
Q

What is drained by the internal pudendal vein?

A

Labia, clitoris and inferior rectal vein

48
Q

Where do the internal vesical veins drain to?

A

The internal iliac vein

49
Q

What does the vaginal venous plexus anastomose with?

A

Uterine, vesical and rectal venous plexuses

50
Q

Where do vaginal veins drain to?

A

Internal iliac vein

51
Q

Where does the obturator vein drain into?

A

The internal iliac vein

52
Q

What do the obturator veins drain?

A

The adductor region of the thigh

53
Q

Where do the uterine veins drain to?

A

The internal iliac artery

54
Q

Where are the uterine veins located?

A

In the broad ligament

55
Q

What is another name for the internal and external iliac veins?

A

Hypogastric veins

56
Q

What do the common iliac veins drain into?

A

Inferior vena cava

57
Q

Which vertebral level do the common iliac veins join?

A

L5

58
Q

Which vessel supplies the levator ani?

A

Inferior gluteal artery

59
Q

Which vessels exit the pelvis via the greater sciatic foramen?

A

Inferior and superior gluteal arteries and veins

Internal pudendal artery and vein