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    1. The document outlines the key bony landmarks and ligaments of the male and female pelvis, including differences in pelvic inlet, outlet and cavity size. 2. The normal positioning of pelvic viscera is described, along with the peritoneal folds and reflections covering and surrounding the organs. 3. Blood supply to the pelvic structures comes from branches of the internal iliac artery, while lymphatic drainage follows the path of internal iliac veins. The pathways of an ovum and spermatozoon through the reproductive tracts are also outlined.

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    1. The document outlines the key bony landmarks and ligaments of the male and female pelvis, including differences in pelvic inlet, outlet and cavity size. 2. The normal positioning of pelvic viscera is described, along with the peritoneal folds and reflections covering and surrounding the organs. 3. Blood supply to the pelvic structures comes from branches of the internal iliac artery, while lymphatic drainage follows the path of internal iliac veins. The pathways of an ovum and spermatozoon through the reproductive tracts are also outlined.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    94 views11 pages

    Pelvis

    Uploaded by

    api-3812135
    1. The document outlines the key bony landmarks and ligaments of the male and female pelvis, including differences in pelvic inlet, outlet and cavity size. 2. The normal positioning of pelvic viscera is described, along with the peritoneal folds and reflections covering and surrounding the organs. 3. Blood supply to the pelvic structures comes from branches of the internal iliac artery, while lymphatic drainage follows the path of internal iliac veins. The pathways of an ovum and spermatozoon through the reproductive tracts are also outlined.

    Copyright:

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    Download as PPT, PDF, TXT or read online from Scribd
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    of 11

    1. Identify the bony walls and ligamentous landmarks of the pelvis.

    Iliopectineal Line

    Sacrotuberous Ligament Greater 
    Sciatic 
    Sacrospinous Ligament
    Foramen

    Lesser 
    Sciatic  Sacrospinous 
    Foramen Ligament
    Sacrotuberous Ligament

    Pubic Arch Pubic Symphysis

    Ischial Tuberosity

    Ant. Sup. Iliac Spine

    Pelvic 
    Pubic symphysis Outlet
    Tip of Coccyx
    Sacrotuberous 
    Ligament
    Coccyx
    Male vs. Female Pelvis
    Female Male

    Pelvic Inlet

    Pelvic Outlet

    Pelvic Cavity

     
    Pelvic Arch
    Muscular Walls Greater 
    Sciatic 
    Foramen

    Piriformis  Piriformis 
    Muscle
    Muscle
    Sacrospinou
    Sacrotuberous 
    s Ligament
    Ligament

    Sacrotuberous 
    Ligament

    Gemellus 
    Superior & 
    Inferior

    Greater Trochanter

    Obturator Internus

    Ischial Tuberosity
    Lesser Trochanter
    4. Identify the pelvic diaphragm and its components
    Sphincter Vaginae (or  Pubic Symphysis Levator Prostatae or 
    Levator Prostatae) Urethra Pubic Symphysis Sphincter Vaginae
    Vagina Puborectalis
    Rectum
    Pubococcygeus

    Puborectalis
    Perineal 
    Pubococcygeus Body
    Obturator 
    Internus
    Coccyx

    Iliococcygeus

    Coccygeus
    Iliococcygeus

    Sacrum Coccyx Coccygeus

    Superior View Inferior View
    2. Identify the normal position and anatomical 
    relationships of the pelvic viscera

    Anteverted Anteflexed
    3. Identify the extent of the peritoneum and its folds 
    and reflections in the male and female pelvis and 
    their relationship to the pelvic contents.

    Rectovesicle pouch Vesicouterine pouch Rectouterine pouch

    Infraperitoneal 
    space

    •Most pelvic organs are infraperitoneal
    Ligaments supporting pelvic organs
    Peritoneal ligaments Pelvic visceral  ligaments
    Fundus
    Bladder
    Bladder
    Lig. Of ovary
    Round lig. of uterus Pubocervical lig.
    Uterine tube
    Transverse 
    Broad ligament cervical lig.

    Cervix
    Suspensory lig.

    Sacrocervical lig.

    Rectum

    Ovarian art. Uterine tube Sacrocervical lig.


    Lig. Of the ovary Mesosalpinx

    Fundus Lig. Of the ovary Bladder


    Round lig. 
    Round  Body of the  Mesometrium Rectum
    ligament  uterus
    of the  Ureter Pelvic diaphragm
    Uterine art.
    uterus Transverse cervical lig.
    Uterine art. Pubocervical lig.
    Cervix
    5. Follow the flow of blood into an out of the structures of the 
    pelvis and perineum.
    Celiac
    Superior mesenteric
    Renal
    Ovarian Inferior mesenteric

    Superior rectal
    Common iliac
    Testicular
    Ext. iliac

    Int.  Inguinal 
    iliac ligament

    Median 
    Sacral

    Femoral

    Rules:
    1. All pelvic organs are supplied by branches of the internal iliac artery except the 
    ovaries and the upper third of the rectum.
    2. Venous drainage follows the arterial supply, including the portal tributary,  the inferior 
    mesenteric vein.
    3. Portal caval anastomses are found at the inferior rectal veins.
    6. Identify the lymphatic drainage of structures of 
    the pelvis and perienum.
    Para­aortic Rules:

    • Lymphatics drain 
    toward lymph nodes 
    along internal iliac 
    veins, except for the 
    External iliac ovary (para­aortic 
    nodes), and superior 
    portion of the rectum 
    (inferior mesenteric 
    nodes)

    Superficial Inguinal •  Perineum drains to 
    superficial inguinal 
    nodes

    Internal iliac 
    7. Follow the course taken by an ovum through the female 
    reproductive tract and the pathway taken by a spermatozoon 
    through the male reproductive tract.
    Uterine tube Fimbria
    Ureter
    Fundus
    Ductus deferens
    Inguinal 
    canal

    Ovary
    Uterine  Bladder
    cavity Body
    Ejaculatory 
    Ampulla
    duct  
    Cervix
    Fornix Seminal vesicle
    Vagina
    Prostate

    Bulbourethral 
    gland
    Urethra
    Ductus deferens
    Epidiymis
    Testis
    Innervation of Pelvic Organs

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