CavitasPelvicus

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
Malevs.FemalePelvis
Female Male

Pelvic Inlet

Pelvic Outlet

Pelvic Cavity

Pelvic Arch
 MuscularWalls 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.Identifythepelvicdiaphragmanditscomponents
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.Identifythenormalpositionandanatomical
relationshipsofthepelvicviscera

Anteverted Anteflexed
3.Identifytheextentoftheperitoneumanditsfolds
andreflectionsinthemaleandfemalepelvisand
theirrelationshiptothepelviccontents.

Rectovesicle pouch Vesicouterine pouch Rectouterine pouch

Infraperitoneal
space

Most pelvic organs are infraperitoneal

 Ligamentssupportingpelvicorgans
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.Followtheflowofbloodintoanoutofthestructuresofthe
pelvisandperineum.
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.Identifythelymphaticdrainageofstructuresof
thepelvisandperienum.
Para-aortic Rules:

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

Superficial Inguinal Perineum drains to

superficial inguinal
nodes

Internal iliac
 7.Followthecoursetakenbyanovumthroughthefemale
reproductivetractandthepathwaytakenbyaspermatozoon
throughthemalereproductivetract.
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