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The uterosacral ligaments (or rectouterine ligaments [1]) are major ligaments of uterus that extend posterior-ward from the cervix to attach onto the (anterior aspect of the [2]) sacrum. [ 3 ] Structure
Schematic drawing of various types of uterine fibroids: a=subserosal fibroids, b=intramural fibroids, c=submucosal fibroid, d=pedunculated submucosal fibroid, e=cervical fibroid, f=fibroid of the broad ligament. Growth and location are the main factors that determine if a fibroid leads to symptoms and problems. [6]
The round ligament of the uterus is a ligament that connects the uterus to the labia majora. It originates at the junction of the uterus and uterine tube. It passes through the inguinal canal to insert at the labium majus. The two round ligaments of uterus develop from the gubernaculum; they are the female homologue of the male gubernaculum ...
The rectouterine (or recto-uterine) pouch is also called the rectouterine excavation, uterorectal pouch, rectovaginal pouch, pouch of Douglas (after anatomist James Douglas, 1675–1742), Douglas pouch, [6] Douglas cavity, [6] Douglas space, [6] Douglas cul-de-sac, [6] Ehrhardt–Cole recess, Ehrhardt–Cole cul-de-sac, cavum Douglasi, or excavatio rectouterina.
The uterus is held in position within the pelvis by ligaments, which are part of the endopelvic fascia. These ligaments include the pubocervical ligaments, the cardinal ligaments, and the uterosacral ligaments. It is covered by a sheet-like fold of peritoneum, the broad ligament. [5]
The uterus contains three suspensory ligaments that help stabilize the position of the uterus and limits its range of movement. The uterosacral ligaments keep the body from moving inferiorly and anteriorly. The round ligaments restrict posterior movement of the uterus. The cardinal ligaments also prevent the inferior movement of the uterus.
The rectouterine fold is a bilaterally paired prominent ridge [1] /fold [2] of the peritoneum that represents the lateral boundary of the rectouterine pouch on either side. [1] [2] It is formed by the underlying rectouterine muscle.
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