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Diagnostic Ultrasound - Abdomen and Pelvis

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Testes<br />

EPIDIDYMIS AND SCROTAL WALL LAYERS IN SITU<br />

Ureter<br />

Anatomy: <strong>Pelvis</strong><br />

Seminal vesicle<br />

Vas deferens<br />

Prostate<br />

Corpus spongiosum<br />

Head of epididymis<br />

Tail of epididymis<br />

External oblique muscle<br />

Transversus abdominis<br />

Transversalis fascia (level of<br />

internal inguinal ring)<br />

Internal oblique muscle<br />

External oblique fascia<br />

Superficial (external) inguinal<br />

ring<br />

External spermatic fascia<br />

Cremasteric muscle<br />

(Top) Graphic shows that the tail of the epididymis is loosely attached to the lower pole of the testis by areolar tissue. The vas deferens<br />

(also referred to as the ductus deferens) emerges from the tail at an acute angle <strong>and</strong> continues cephalad as part of the spermatic cord.<br />

After passing through the inguinal canal, the vas deferens courses posteriorly to unite with the duct of the seminal vesicle to form the<br />

ejaculatory duct. These narrow ducts have thick, muscular walls composed of smooth muscle, which reflexly contract during ejaculation<br />

<strong>and</strong> propel sperm forward. (Bottom) The muscle layers of the pelvic wall have been separated to show the spermatic cord as it passes<br />

through the inguinal canal. The cremasteric muscle is derived from the internal oblique muscle, while the external spermatic fascia is<br />

formed by the fascia of the external oblique muscle.<br />

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