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Adnexal/Ovarian Torsion
Published in Botros Rizk, A. Mostafa Borahay, Abdel Maguid Ramzy, Clinical Diagnosis and Management of Gynecologic Emergencies, 2020
Hajra Takala, Mona Omar, Ayman Al-Hendy
The ovaries are ovoid nonfixed organs that are located within the broad ligament on either side (lateral) of the uterus. This position is maintained by the infundibulopelvic ligaments, also called suspensory ligaments (a fold of peritoneum extending from the mesovarium to the pelvic wall), of the ovary, which suspend the ovary superolateral to the lateral pelvic wall. A mesovarium is a fold of the peritoneum, continuous with the outer surface of the ovaries. The suspensory ligament of the ovary contains the ovarian artery, ovarian vein, ovarian nerve plexus, and lymphatic vessels. The other side (medial pole) of the ovary is supported and connected to the uterus by the utero-ovarian (UO) ligament, also known as the ovarian ligament or the proper ovarian ligament [1–3].
SBA Answers and Explanations
Published in Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury, SBAs for the MRCS Part A, 2018
Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury
The suspensory ligament of the ovary transmits the ovarian artery, vein, and lymphatics. As a general rule regarding lymphatic drainage, superficial lymphatics (i.e., in subcutaneous tissues) tend to run with superficial veins, whereas deep lymphatics run with arteries. As the artery starts from the aorta, lymph drainage therefore passes to the para-aortic lymph nodes. The same applies with the testis in the male.
The development and anatomy of the female sexual organs and pelvis
Published in Helen Bickerstaff, Louise C Kenny, Gynaecology, 2017
The size and appearance of the ovaries depends on both age and stage of the menstrual cycle. In a child, the ovaries are small structures approximately 1.5 cm long; however, they increase to adult size in puberty due to proliferation of stromal cells and commencing maturation of the ovarian follicles. In the young adult, they are almond-shaped and measure approximately 3 cm long, 1.5 cm wide and 1 cm thick. After the menopause, no active follicles are present and the ovary becomes smaller with a wrinkled surface. The ovary is the only intra-abdominal structure not to be covered by peritoneum. Each ovary is attached to the cornu of the uterus by the ovarian ligament and at the hilum to the broad ligament by the mesovarium, which contains its supply of nerves and blood vessels. Laterally, each ovary is attached to the suspensory ligament of the ovary with folds of peritoneum that becomes continuous with that of the overlying psoas major.
Adnexal incidentalomas on multidetector CT: how to manage and characterise
Published in Journal of Obstetrics and Gynaecology, 2020
A. C. Tsili, M. I. Argyropoulou
There are two main ligaments that attach to the ovary, the suspensory ligament and the ovarian ligament. The suspensory ligament of the ovary is a fold of peritoneum extending out from the ovary to the pelvic sidewall, and transmitting the ovarian vein and artery. The visualisation of the suspensory ligament leading to a pelvic mass is a sign highly indicative of the ovarian origin of a mass. This ligament may be detected at CT as a short and narrow, linear or fan-shaped soft-tissue band that widens as it approaches the ovary (Figures 3(a) and 4). The ovarian ligament is a fibrous structure, connecting the ovary to the lateral surface of the uterus. This ligament is occasionally seen at CT as a short and narrow soft-tissue band between the uterus and ovary (Saksouk and Johnson 2004; Forstner 2019).