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Dissection of female pelvis from a lateral approach

Interior of left side of pelvic cavity.

Image #162-3

KEYWORDS: Ovary, Peripheral nervous system, Urinary tract, Vasculature, Central nervous system, Muscles and tendons, Uterus.

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Dissection of female pelvis from a lateral approach

Interior of left side of pelvic cavity.

The peritoneum has been removed from the posterior and left lateral walls of the pelvic cavity. The fascial investments of extraperitoneal structures have been stripped away. A large ureteric artery (22), which originates from the internal iliac artery, supplies the lower part of the ureter and communicates inferiorly with the ovarian branch of the uterine artery.

1 .	Superior hypogastric plexus
2 .	Sympathetic trunk (pointer on ganglion)
3 .	Sacrum (upper pointer, articular surface; lower pointer, lateral crest)
4 .	Coccyx
5 .	Rectouterinus muscle (uterosacral ligament)
6 .	Rectum (cut across)
7 .	Vagina
8 .	Uterus
9 .	Urinary bladder
10 .	Internal iliac lymph node
11 .	Ovarian artery
12 .	Ureter
13 .	Internal iliac artery and vein
14 .	Iliac lymph node
15 .	External iliac artery and vein
16 .	Fimbria of uterine tube
17 .	Ovary
18 .	Internal iliac lymph node (note associated lymphatic vessels)
19 .	External iliac lymph node
20 .	Pubic symphysis
21 .	Lateral umbilical ligament
22 .	Ureteral branch of internal iliac artery
23 .	Uterine vein