Female Genital Organs

and Peritoneum

Department of anatomy Wuhan university school of medicine

Female reproductive system
Internal genital organs
Gonads: ovaries

Uterine tubes
Conveying ducts Uterus
vagina
External genital organs: vulva Sagittal section of female pelvis

Mammary gland

Posterrior view
ovary
A. Position: in the fork of the iliac vessels
B. Figure:
two surfaces
Anterior border: hilum of ovary
two borders
Posterior border

two poles tubal extremity

uterine extremity
C. Ligaments:
suspensory ligament of the ovary
ovarian ligament
Uterine tube
Infundibulum:
fimbriae, ovarian fimbria
Ampulla
Isthmus Posterior view
Uterine part
 Uterus ( Womb)
A. Position, relation and function
Uterovesical pouch
Rectouterine pouch
B. General features
Anteversion
Anteflexsion
Fundus
C. Divisions of uterus （
Four parts ）
Body
Fundus
Body Isthmus
Isthmus
Cervix Cervix

orifice
D. Ligaments of uterus
Broad lig.
Round lig.
Sacrouterine lig.
Cardinal lig.
Pubouterine lig. horizontal section

Broad ligaments:
1) Contain connective tissue:
round ligament
uterine tube Anterior view
ovary and ovarian lig.
2) Divisions:
mesosalpinx
mesovarium
mesometrium Posterior view
 Round lig.
Round lig.
Sacrouterine lig.
Cardinal lig.
Pubouterine lig.
Clinical note
prolapse

Transverse section

Coronal section Sagittal section

vagina
Fornix of vagina
posterior fornix of vagina
Vaginal orifice -hymen

External genitalia (vulva)

Mons pubis
External orifice
of urethra
Clitoris

Bulbofofvestibule
Greater lip of
Bulb pudendum Vaginal
vestibule
orifice
Lesser lips of
pudendum
Greater vestibular
gland
 Structure

Mammary glands glandular alveoli glandular lobule

lactiferous duct lactiferous sinus
nipple
Suspensory ligaments (cooper’s ligaments)
Location and features Clinical application

Suspensory
nipple ligaments

glandular
lobule
Areola of
lactiferous breast
duct

lactiferous
sinus
peritoneum
Parietal peritoneum Peritoneal
cavity
Visceral peritoneum
Relationship between viscera and
peritoneum:
1. retroperitoneal organs:
kidneys, suprarenal glands,
ureters, major part of duodenum
pancreas, middle and inferior part
of the rectum
① ②
2. interperitoneal organs:
liver, gallbladder, urinary bladder
upper part of the rectum, uterus
ascending and descending colon
3. intraperitoneal organs:
stomach, superior part of the
duodenum, jejunum, ileum,caecum,
appendix, transversecolon,sigmoid
colon, spleen, ovary, uterine tube
③
Structures formed by the
peritoneum:
Omentum
Greater omentum
Lesser omentum
Greater omentum
Hepatoduodenal lig.
Hepatogastric lig.
Omental bursa
(lesser peritoneal cavity)
Omental foramen
anterior: hepatoduodenal
lig.
common bile duct
proper hepatic artery
hepatic portal vein Horizontal section
Mesenteries and mesocolons
Mesentery: duodenojejunal flexure
radix of mesentery:
sacroiliac joint Transverse
Mesoappendix mesocolon
Transverse mesocolon mesentery
Sigmoid mesocolon
Sigmoid
mesocolon
 Highlight
The components of the female internal genital
organs
The ligaments of the ovary
The division of the uterine tube and clinical note of
each part
The division, posture and ligaments of the uterus
The structures formed by the peritoneum
Concepts:
Posterior fornix of vagina,
Suspensory lig. of the mamma
Parietal peritoneum, visceral peritoneum,
Peritoneal cavity
Ligaments
Ligaments around the liver
Falciform ligament
Ligament teres of liver
Coronary ligament
Right and left triangular lig.
Hepatogastric lig.
Hepatoduodenal lig.
Bare area
Ligaments of the spleen
Lienorenal lig.
Gastrosplenic lig.
Ligaments of stomach
Hepatogastric lig.
Gastrosplenic lig.
Gastrocolic lig.
Suspensory lig. of duodenum (Treitz lig.)
Pouches
Rectovesical pouch
Vesicouterine pouch
Rectouterine pouch (douglas pouch)
Peritoneal folds and fossa

median obliterated
medial umbilical umbilical urachus obliterated
fold fold umbilical
arterie
lateral umbilical
fold inferior
epigastric
vessels
Lateral inguinal
fossa

Medial inguinal
fossa
supravesical
fossa
 Subdivision and spaces of
peritoneal cavity
Right Left
suprahepatic suprahepatic
Supramesocolic space space
compartment
(subphrenic
space)
Right Left
subhepatic subhepatic
space space
(hepatorenal (omental
recess) bursa)

Right Left
Inframesocolic paracolic paracolic
compartment groove groove