Perimetrium

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Perimetrium
Illu cervix.svg
Uterus and uterine tubes (Perimetrium labeled at bottom right)
Details
Identifiers
Latin perimetrium, tunica serosa uteri
Anatomical terminology

The perimetrium (or serous coat of uterus) 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.

Anteriorly, the perimetrium covers the fundus and upper body of the uterus until it meets the superoposterior surface of the adjacent urinary bladder, resulting in a concave fold of peritoneum called the vesicouterine pouch . Posteriorly, the perimetrium covers the entire surface of the uterus deep down to the cervix, where it then folds back onto the adjacent rectum to form the rectouterine pouch , the lowest gutter of the peritoneal cavity. Laterally, the perimetrium blends into the serosae of the broad ligaments. [1] [2]

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<span class="mw-page-title-main">Uterus</span> Female sex organ in mammals

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.

<span class="mw-page-title-main">Peritoneum</span> Serous membrane that forms lining of abdominal cavity or coelom

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.

<span class="mw-page-title-main">Gallbladder</span> Organ in humans and other vertebrates

In vertebrates, the gallbladder, also known as the cholecyst, is a small hollow organ where bile is stored and concentrated before it is released into the small intestine. In humans, the pear-shaped gallbladder lies beneath the liver, although the structure and position of the gallbladder can vary significantly among animal species. It receives and stores bile, produced by the liver, via the common hepatic duct, and releases it via the common bile duct into the duodenum, where the bile helps in the digestion of fats.

<span class="mw-page-title-main">Serous membrane</span> Smooth coating lining contents & inner walls of body cavities

The serous membrane is a smooth tissue membrane of mesothelium lining the contents and inner walls of body cavities, which secrete serous fluid to allow lubricated sliding movements between opposing surfaces. The serous membrane that covers internal organs is called visceral, while the one that covers the cavity wall is called parietal. For instance the parietal peritoneum is attached to the abdominal wall and the pelvic walls. The visceral peritoneum is wrapped around the visceral organs. For the heart, the layers of the serous membrane are called parietal and visceral pericardium. For the lungs they are called parietal and visceral pleura. The visceral serosa of the uterus is called the perimetrium. The potential space between two opposing serosal surfaces is mostly empty except for the small amount of serous fluid.

<span class="mw-page-title-main">Rectouterine pouch</span> Human female anatomical structure

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.

<span class="mw-page-title-main">Adventitia</span> Outer layer of fibrous tissue surrounding a bodily organ

The adventitia is the outer layer of fibrous connective tissue surrounding an organ.

<span class="mw-page-title-main">Lesser omentum</span>

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.

<span class="mw-page-title-main">Greater omentum</span> Fat sheath under abdominal wall

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.

<span class="mw-page-title-main">Broad ligament of the uterus</span> Wide fold of peritoneum that connects the sides of the uterus to the walls and floor of the pelvis

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.

<span class="mw-page-title-main">Tunica vaginalis</span> Pouch of serous membrane that covers the testes

The tunica vaginalis is a pouch of serous membrane within the scrotum that lines the testis and epididymis, and the inner surface of the scrotum. It is the outermost of the three layers that constitute the capsule of the testis, with the tunica albuginea of penis situated beneath it.

<span class="mw-page-title-main">Mesovarium</span>

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.

<span class="mw-page-title-main">Lateral umbilical fold</span>

The lateral umbilical fold is an elevation of the peritoneum lining the inner/posterior surface of the lower anterior abdominal wall formed by the underlying inferior epigastric artery and inferior epigastric vein which the peritoneum covers. Superiorly, the lateral umbilical fold ends where the vessels reach and enter the rectus sheath at the arcuate line of rectus sheath; in spite of the name, the lateral umbilical folds do not extend as far superiorly as the umbilicus. Inferiorly, it extends to just medial to the deep inguinal ring.

<span class="mw-page-title-main">Ovarian ligament</span>

The ovarian ligament is a fibrous ligament that connects the ovary to the lateral surface of the uterus.

<span class="mw-page-title-main">Pararectal fossa</span>

The pararectal fossa is an inferior-ward extension of the peritoneum on either side of the rectum. It is formed by a (sacrogenital) fold of peritoneum extending inferior-ward from the posterolateral pelvic wall. It represents a lateral extension of the rectouterine pouch in the female, and of rectovesical pouch in the male. It varies in size with the distension of the rectum.

<span class="mw-page-title-main">Rectouterine fold</span>

The rectouterine fold is a bilaterally paired prominent ridge/fold of the peritoneum that represents the lateral boundary of the rectouterine pouch on either side. It is formed by the underlying rectouterine muscle. On either side, the rectouterine fold extends between the sacrum medially, and the base of the broad ligament of the uterus laterally.

<span class="mw-page-title-main">Vesicouterine pouch</span> Fold of peritoneum in human female anatomy

In human female anatomy, the vesicouterine pouch, also uterovesicle pouch, is a fold of peritoneum over the uterus and the bladder. Like the rectouterine pouch, it is a female pelvic recess, but shallower and closer to the anterior fornix of the vagina.

<span class="mw-page-title-main">Rectovesical pouch</span> Part of pelvic anatomy in male mammals

The rectovesical pouch is the pocket that lies between the rectum and the bladder in males in humans and other mammals. It is lined by peritoneum.

<span class="mw-page-title-main">Uterosacral ligament</span>

The uterosacral ligaments are major ligaments of uterus that extend posterior-ward from the cervix to attach onto the sacrum.

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 gonads initially develop from the mesothelial layer of the peritoneum.

<span class="mw-page-title-main">Fallopian tube</span> Tubes in the human female reproductive system

The fallopian tubes, also known as uterine tubes, oviducts or salpinges, are paired tubes in the human female body that stretch from the uterus to the ovaries. The fallopian tubes are part of the female reproductive system. In other mammals, they are only called oviducts.

References

  1. Manual of Obstetrics. (3rd ed.). Elsevier. pp. 1-16. ISBN   9788131225561.
  2. Ross, Michael H.; Pawlina, Wojciech. Histology, a text and atlas (Sixth ed.). p. 848.