Suspensory ligament of the ovary | |
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Details | |
Precursor | Upper gubernaculum [1] |
From | Upper pole of ovary and infundibulum of fallopian tube |
To | Lateral wall of the pelvis |
Identifiers | |
Latin | ligamentum suspensorium ovarii |
TA98 | A09.1.01.018F |
TA2 | 3805 |
FMA | 19822 |
Anatomical terminology |
The suspensory ligament of the ovary, also infundibulopelvic ligament (commonly abbreviated IP ligament or simply IP), is a fold of peritoneum [2] that extends out from the ovary to the wall of the pelvis.
Some sources consider it a part of the broad ligament of uterus [3] while other sources just consider it a "termination" of the ligament. [4] It is not considered a true ligament in that it does not physically support any anatomical structures; however it is an important landmark and it houses the ovarian vessels.
The suspensory ligament is directed upward over the iliac vessels.
It contains the ovarian artery, ovarian vein, [2] ovarian nerve plexus, [5] and lymphatic vessels. [4]
The suspensory ligament of the ovary is one continuous tissue that connects the ovary to the wall of the pelvis. There are separate names for the two regions of this tissue.
In sum, the suspensory ligament consists of a single connective tissue that has different regional notations, the peritoneum and the broad ligament.
Most of the abdominal cavity is lined by a double-membranous sac called peritoneum . The interior is called the peritoneal cavity, this is the location of all 'intra-peritoneal' organs (disambiguation: retro-peritoneal organs). The most inferior extent of the peritoneum covers the pelvic inlet; in females, this region of the peritoneum is referred to as the 'broad ligament'.
The suspensory ligament originates from the mesonephros, which, in turn, originates from intermediate mesoderm.
The prenatal development of the suspensory ligament of the ovary is a part of the development of the reproductive system.
The uterus or womb is the organ in the reproductive system of most female mammals, including humans, that accommodates the embryonic and fetal development of one or more embryos until birth. The uterus is a hormone-responsive sex organ that contains glands in its lining that secrete uterine milk for embryonic nourishment.
The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal organs, and is composed of a layer of mesothelium supported by a thin layer of connective tissue. This peritoneal lining of the cavity supports many of the abdominal organs and serves as a conduit for their blood vessels, lymphatic vessels, and nerves.
The abdominal cavity is a large body cavity in humans and many other animals that contain organs. It is a part of the abdominopelvic cavity. It is located below the thoracic cavity, and above the pelvic cavity. Its dome-shaped roof is the thoracic diaphragm, a thin sheet of muscle under the lungs, and its floor is the pelvic inlet, opening into the pelvis.
In human anatomy, the mesentery, an organ that attaches the intestines to the posterior abdominal wall, comprises the double fold of the peritoneum. It helps in storing fat and allowing blood vessels, lymphatics, and nerves to supply the intestines.
The paired gubernacula, also called the caudal genital ligament, are embryonic structures which begin as undifferentiated mesenchyme attaching to the caudal end of the gonads.
The rectouterine pouch is the extension of the peritoneum into the space between the posterior wall of the uterus and the rectum in the human female.
The lesser omentum is the double layer of peritoneum that extends from the liver to the lesser curvature of the stomach, and to the first part of the duodenum. The lesser omentum is usually divided into these two connecting parts: the hepatogastric ligament, and the hepatoduodenal ligament.
In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold The inferior epigastric artery then traverses the arcuate line of rectus sheath to enter the rectus sheath, then anastomoses with the superior epigastric artery within the rectus sheath.
In human anatomy, the falciform ligament is a ligament that attaches the liver to the front body wall and divides the liver into the left lobe and right lobe. The falciform ligament is a broad and thin fold of peritoneum, its base being directed downward and backward and its apex upward and forward. It droops down from the hilum of the liver.
The greater omentum is a large apron-like fold of visceral peritoneum that hangs down from the stomach. It extends from the greater curvature of the stomach, passing in front of the small intestines and doubles back to ascend to the transverse colon before reaching to the posterior abdominal wall. The greater omentum is larger than the lesser omentum, which hangs down from the liver to the lesser curvature. The common anatomical term "epiploic" derives from "epiploon", from the Greek epipleein, meaning to float or sail on, since the greater omentum appears to float on the surface of the intestines. It is the first structure observed when the abdominal cavity is opened anteriorly.
The broad ligament of the uterus is the wide fold of peritoneum that connects the sides of the uterus to the walls and floor of the pelvis.
The duodenojejunal flexure or duodenojejunal junction, also known as the angle of Treitz, is the border between the duodenum and the jejunum.
The mesovarium is the portion of the broad ligament of the uterus that suspends the ovaries. The ovary is not covered by the mesovarium; rather, it is covered by germinal epithelium.
The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet. Its lower boundary is the pelvic floor.
The ovarian vein, the female gonadal vein, carries deoxygenated blood from its corresponding ovary to inferior vena cava or one of its tributaries. It is the female equivalent of the testicular vein, and is the venous counterpart of the ovarian artery. It can be found in the suspensory ligament of the ovary.
The ovarian ligament is a fibrous ligament that connects the ovary to the lateral surface of the uterus.
The perimetrium is the outer serosal layer of the uterus, derived from the peritoneum overlying the uterine fundus, and can be considered a visceral peritoneum. It consists of a superficial layer of mesothelium, and a thin layer of loose connective tissue beneath it.
The paracolic gutters are peritoneal recesses – spaces between the colon and the abdominal wall.
The development of the gonads is part of the prenatal development of the reproductive system and ultimately forms the testicles in males and the ovaries in females. The immature ova originate from cells from the dorsal endoderm of the yolk sac. Once they have reached the gonadal ridge they are called oogonia. Development proceeds and the oogonia become fully surrounded by a layer of connective tissue cells. In this way, the rudiments of the ovarian follicles are formed.
The vaginal support structures are those muscles, bones, ligaments, tendons, membranes and fascia, of the pelvic floor that maintain the position of the vagina within the pelvic cavity and allow the normal functioning of the vagina and other reproductive structures in the female. Defects or injuries to these support structures in the pelvic floor leads to pelvic organ prolapse. Anatomical and congenital variations of vaginal support structures can predispose a woman to further dysfunction and prolapse later in life. The urethra is part of the anterior wall of the vagina and damage to the support structures there can lead to incontinence and urinary retention.
This article incorporates text in the public domain from page 1254 of the 20th edition of Gray's Anatomy (1918)