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Diagnostic Ultrasound - Abdomen and Pelvis

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Vagina<br />

GRAPHICS OF NORMAL VAGINAL ANATOMY<br />

Ovary<br />

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

Fallopian tube<br />

Uterus<br />

Broad ligament<br />

Round ligament of uterus<br />

Vagina<br />

Obturator internus muscle<br />

Obturator vessels & nerve<br />

Levator ani muscle<br />

Vestibule<br />

Deep transverse perineal<br />

muscle & fascia<br />

Internal iliac artery (anterior<br />

trunk)<br />

Uterine artery<br />

Vaginal artery<br />

Inferior vesical artery<br />

Descending trunk of uterine<br />

artery<br />

Superior vesical artery<br />

Occluded umbilical artery<br />

(Top) Coronal view shows the pelvic floor at the level of the vagina. The levator ani muscles form the pelvic floor through which the<br />

urethra, vagina, <strong>and</strong> rectum pass, <strong>and</strong> are the main support for the pelvic organs. The deep transverse perineal muscle <strong>and</strong> fascia, along<br />

with the urethral sphincter, form the urogenital diaphragm, which is the main support of the lower vagina. (Bottom) Frontal graphic<br />

shows the iliac vessels. The internal iliac artery divides into an anterior trunk <strong>and</strong> posterior trunk. The VA can branch off directly from<br />

the anterior trunk of the internal iliac artery or sometimes from the inferior vesical artery or UA. The arterial supply of the vagina<br />

includes the VA <strong>and</strong> vaginal branch of the descending trunk of UA.<br />

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