Pelvic and Perineal Angiology

Question 1

What is the route of the ovarian a?

Answer 1

branches from the abdominal aorta between the renal a and teh inferior mesenteric a, travels Inferiorly into the pelvis through the suspensory l of the ovary, branches into ovarian and tubular branches

Question 2

What is the route of the superior rectal A?

Answer 2

travels over left common iliac vessels into pelvis to supply the superior aspect of the rectum, anastomoses with the middle and inferior rectal a

Question 3

What is the route of the testicular a?

Answer 3

from abdominal aorta, travels Inferiorly through inguinal canal into the scrotum, inside the spermatic cord

Question 4

What does the obturator a supply?

Answer 4

pelvic muscles, ilium bone, femoral head, muscles of the medial thigh

Question 5

What does the inferior vesical a supply?

Answer 5

posterior aspect of urinary bladder
seminal vesicles
prostate gland
ductus deferens
ureters

Question 6

What does the middle rectal a supply?

Answer 6

inferior rectum, anal canal and seminal vesicles in males

Question 7

What does the inferior gluteal a supply?

Answer 7

coccygeus m, levator ani muscles, piriformis m, quadratus femoris m, upper most posterior thigh ms, gluteus Maximus m and sciatic n

Question 8

What does the artery of the vestibule of vagina supply?

Answer 8

vaginal vestibule and greater vestibular gland

Question 9

What does the iliolumbar a supply?

Answer 9

the iliac branch - ilium and iliacus m

Lumbar branch - psoas major m. and quadratus lumborum m

Question 10

What does the lateral sacral a supply?

Answer 10

Piriformis m, structures in sacral canal and erector spinae ms

Question 11

What does the superior gluteal a supply?

Answer 11

It exits pelvic cavity through greater sciatic foramen to supply piriformis m, gluteus Maximus m, gluteus medius m, gluteus minimis m, and tensor fascia lata m?

Question 12

Where does the pampiniform venous plexus drain to in males vs females

Answer 12

Male: inside spermatic cord, drains to testicular v
Female: inside the suspensory l of the ovary, drains to ovarian v

Question 13

What are internal Hemorrhoids?

Answer 13

“piles”

prolapse of the mucosa containing the internal rectal venous plexus - impedes blood flow

Question 14

What are external Hemorrhoids?

Answer 14

blood clots in the external rectal venous plexus

bulge out the mucosa and overlying skin and are painful

Question 15

What do the lateral aortic (lumbar) lymph nodes drain?

Answer 15

ureters, fundus of the uterus, uterine tubes and ovaries

Question 16

What do the common iliac lymph nodes drain?

Answer 16

ureters, urinary bladder, and inferior part of the vagina

Question 17

What do internal iliac lymph nodes drain?

Answer 17

the ureters, posterior urinary bladder, urethra, seminal vesicles, prostate gland, superior and middle vagina, uterine cervix, rectum and superior part of the anal canal

Question 18

What do the external iliac lymph nodes drain?

Answer 18

the ureters, anterior urinary bladder, ductus deferens, ejaculatory ducts, superior vagina, fundus and body of the uterus

Question 19

What do the superficial inguinal lymph nodes drain?

Answer 19

inferior vagina, fundus of the uterus, inferior anal canal, scrotum, penis, and female pudendum

Question 20

What do the deep inguinal lymph nodes drain?

Answer 20

spongy urethra

Question 21

What do the sacral lymph nodes drain?

Answer 21

urinary bladder, urethra, prostate gland, inferior vagina and uterine cervix

Question 22

What do the pararectal lymph nodes drain ?

Answer 22

the rectum