)))))un

nxpr'b nubtpon
Rnil )ra ilo:tbt'f't n'ntp:xb ;lJrn'il

,ilrlll!!I$:,n'J$SlhiT 1r$,1)fi 1'tt:t'tb nJrl l"J t'g lllg

nxta-r? ,ru?pa: flu2Pnn hptt]1u, trtitj-T.lllD;J

t,,l lf'U)

2001

.tlnfll

]"ulunil lllun

ll'Ilnt nNtgr! tr'nl-Ilnui't '-I-)u -I:)r 'n'13 Elln'ru)

-ilny
L29.
131.

tr'l'I'uit lfln
... Abdomen

'n-TPn lgr-Tn

nlln

- luLn

L70.

)rnu
......

t72.

181. 183.
183..
189.

.... n'.tlnxn

183.
.

nt'htrgro ntut)r

lulil l9l-T .. n')l

192,

:1u:n ?)n nt)t:.1

:o':g)n
Rectus abdominis muscle
.'1

Pyramidalis m. .2 Aponeurosis of flat abdominal rnuscles .3

:o'-T-TYI

Fleshy parts of flat abdominal muscles .1 lliacus muscles and iliac bone .2 Lumbar vertebral column .1 Crura of the diaphragm .2 , Psoas and quadratus lumborum muscles .3 Posterior part of iliac'bone .4

:'ilnxn

Diuonr"n*S1?b process .2 CostalcaflilagesT-12 .3

Xiphoid Bone of tne

pelvis-l'l.2

:nun)n

Inguinalligament

:(r?u ?v nn:rn) lutn =rrxt lt'lrv'n ulu'n nl'Tli7l

Xyphid process
Lower costal cartilages lliac crest Anterior superior iliac spine (ASIS) n:rr:Posterior superior iliac spine (PSIS)- L4 n:ruTubercle of the iliac crest - Ls Pubic tubercle

lnguina! ligament

t"?".:,tffil,:':

Lumbar vertevrae

Dly''n oc,/) D"lnt-) o'|-lru,D

'lur o")-lx ot-lru'n 'l!, rryynNl o' ytf,-t 9 -) lurn ))n nx o'7)nn
.(Moore 1-o13 o,rrny nxr) o',n':cn o,-tl.xn ?u ,9rlr9ru

nry)yn,)rul Ll )u o,lrnnnn o,,)run illt:L lt.t;t nx nylnil rtnl -ltu'n - Transpvloric plane
.'y,u-ln;-l ')uorpn otno;"1 ilyy't

o,,?runr lliac crest Symphysis -nr

-n )u ?pr:run nll)f.

elt.rn

nx i'ryrnn ,l.n-t 'lu'r3 :Traqstubercular plane

.L5 ?v.r o':rnnnn

ASIS -n l,l yynxr o'1f.tyn

(')u,ro)

.clt:;-l '-T'y ,lc.,n pubis

:Lateral lines

3.Epigastrium yynxf,t ,?xnq.,t ,tn,Hypochondriac B'ytf,'''t o,-T-Tyt:o':r')y o,yn,-.) 3 o,)e7nn D'vllr"l'lu nllnnrn n-lt?./tt .Umbilical yt:'"r yynxtr ,?xnur ,:n'Lumbar D'jJtl,-) 2:o',yynx D'ytt,-l
.Hypogatrium

!tf.'t yynxtt

(lnguinal=)

lliac o,'rry

lrnnn

lt-il 'ln' ltnnn yf-t ,'!xnu

;t')v

vrr

,'lD' ltr)y yL-l :D'irl-l 4 -) nor rnt, n7r?n oi nn,,p .,)xnu

130

lerl ,ol Llolrlo ol dlonhrnqtrr

nlidr-l\rvicVl.lr

linr

. ----

lran:.irytorlc

phne

ili.lc lubcrcle
ilrri eriet

l,n?rslubor:Jt::,

-.gthrt,:

supcriot
iliac
v6rhrB

\,\
(

pr;bic lr,rbercls

lscl rial 5pine

Diogranr of abdonrerr ard itls skeletal.farnework ur!{h tile 'lines' used ro div[cJe it irito regiuns 1o,r e8.rs o[ dc.scription.

lt!:;T
'

iut ''trTi?;T '1DT;1 ;lrfh

:'l"ll -llLyl nn'19 'llY'nn D'19 nuuD -lty;.I .1 )!) l"lll. n),)n;r n'-'ul.'n ;-rny'-r - Superficial fascia .2 n)ynln op-ltrJ;-t ?v,r n,yoc) r,)vrni"l .lDru rr-ri?,n,-lr,-'r9rx .lri'l )u n,vos? n)9tnt ;'ltynn x'n n'?-to).nun?n l'nn'"llxl l-l'n )ci n'Yo9?l : nn)u ,nu? tp?nnn 1r;1 r)}1131;1 1111) I'nn '"lf.x lln) n-T-'lt' .D'lnu./ o'ulx )vx 1ntv.r: i''lx)n .n'llJ'n lnl'n :Camper' s fascia .x )u nrnrnn n'vo9n x'iru., Dartus -n n-t'y') nn-ltn -tnt' i'lptnyn n'vo9il oy -In't D"ltY'nn -;'r "'y o'tlvrynu a'o9oi9n x) "l''lu 'l'o Dl o'xvnl n)lnf.ul ,'l)rn )u o"lrv'n;'l l'ni-l '-llx -) n':'{Jnn .lnru n-lon n'nlttnn nguyn )?:1rrr x'i'r .n'n'19 -lnt';t :Scarpa's fascia .L -il u-uuf. Fundiform ligament -n nx "llt' 11.ril )u vvnxn lP;-l .olxl'.t9n )c/ Colle's fascia
.

.Genitofemoral n.

Penis

.lnguinal ligament -;"1 llrr)? nnnn D"o 1 -) nn,'noD Superficial fascia -n nxl Pectoralis major -n nx nguryu i'r'yo9l n')uJnn .Er,-r'-rvJ rrgoryu n'yo9 rr - Deep fascia .3 n)9tnl I'nnnn i-t)'ulnn,lnguinal ligamenl -) n'rl.lnn R,;r r,"u'-')glx.Latissimus dorsi -n .ntptf Labia majora -) rx r>n o,fuxn pu) 1: n: n-r-Trn .l-r,n )u Facia lata rnt'n)

;lufn l9-r lrrx) nrxr) In'l nt'Yo9;-1 nPn-lil '-lnx )v; ltrtttxllgxn )u vJlgnn oli?n xrnu Linea alba - ,yynx ry' :o")-)x o'ti7 3 .1 Xyphoid -n n)q/nrn .nun '9)) ;'l-ry -)nr'l '-l't''l9ton ;rP)nl n"o 1 -) nln-t .o')l'nl-Ifx;"1 .Rectus abdominis -;'r '-r'r{J )u ntnntrnn i"t'-T'v 'run .Pubic symphysis -ir -Tvt process r)1q1l prTlrlsnr Pubic tubercle -1. D')'ntnu Lineae semilunaris o'xynl r)u o'?ru?n D")tul .9 'on ntv)v )u o'otnon ilyp -'rtrxl ntv):;-l :Lineae tranversae o")rl'r o"ln1 D'llt 3 .2
o,-'t'-]un
.Xyphoid -)

.rrt0n nlr)l .ll .o;1,1u l'l vYnxl .lll

nnnn

.l

131

.nr\D.i7'nu) p)n) ln'l lul;"t le'r '-t,'tcJ nx .Quadratus lumborum -n )u l,-rr,'roor9 D,-.,l,tvJ r.tytf.i7 .1 'D,')tN o''t'"rv/ 'lu u' nf.u n,?rrr)tru:x D't'tu nyD.p .2
Fectus

Pyramidalis
:nlnun Drf'o lllf ')yl Dnl
,'|1c./;l

abdominis

.1

.2

'l)

?y rnx e,nllnvJ o'ntuv/t p,71 External abdominal oblique

r

o,t,tu

.'?Hff"*ft

m.

3 -t

Xl."i,l,li,i

.1

;-l

,D")txn n'l'tu? n-Tnt'n i-lgoyn ln,l. nnyt'u ntln-t nt,ut-ltxIgx nt,y-tolx u, n)xn o,r,run 3 ?:)
.Rectus sheath-

1l'r')vt

: lnll:'x;') 'riru r'y'gn o"n'19n ltlf.n '-rlx )v yn) n-rl)n ,nn )u ir,yun ,-ry) ryn lt9'),l)xi-lt r;n )v.r n'o7)s ,ngy-)on (;l'ro)pr) nn");-lt o: D,-tny ,;rr') ,n,vpc-r .;lu n?un ,nxi7;-r :p:t nrltus: rrgrrun

.'ol"tlxllgx '"ll'-llx 7)nt

':rur'?ro)

p)n ?y::External abdominal oblique

m.

h,i.rlrJtr;'

liqorpa;

nlllnnrn ltylyn 8 )u ,ltv'nn D't9i'l nuur o,ltrlnr]n D',)ruiln rt'1]ut nt'yu)'-T 8 :rr;zn -n ?u n'ltv'nn ngui'l )u n'tt'ru:xn n,fnnt D,rnxl nnlnnnn nty)yn 2 -: orrpnu o'l'o 'n't-tolx nil.]txltgxt o'n"nont nn'-ri7t non ,ol> |lo>?xr o,-rI, nt-lnDn nry)yit 6 -n o':'o .lliac crest -1. nrnxlt o'l'nlil.x otuP'tn 't'ru? nn'ry' nrrry ,ASIS -n rlr nry)yn ,)run 1ro>lx lrrx) nu>nnnu

ltt)l nny! )y o,):):nn Ext. oblique m. -;'l nn-lx:rgx )u o'ltrnrn o,,?tun.Linea alnba Inguinal -;1 '1.'o.Pubic tubercle -) ryr ASIS -i-rn lunnnu lnguinal ligament -n nx o,-lyt'l .lnt. abdominal oblique m. -n )u tnl,l o,lrnnn lrv-r ':,o) nlnx D,lrn ,)io)n o7)n: ligament nYy'.ll. rnxrt Pectineal line -a;rt'rl n:tsn lacunar lig. -n nx or"'lyl'l D'nurun on ,)x'rnn op)nn Ext. abd. obli. m. -n )uJ nrt-rtx:r9xi-r 'r,o;':,u.r)run nrryf.,ne r:u, Pubic tubercje -? n,)rulr lyn -n ?u tn: x';t t''lq;- )ty o':'on ltt).;'ltyo9 q1x) o'rrrnn ol'xu t)n ll)t D',vJgn D,'u,-tuot9 srr)1u/ vir
'"tt'-toot9 .Ext. inercostal. m.

,lrY,nn =r''rc./ir ln

i7-Tr

luiT

:lnternal abdominal oblique m.

lnternal

:rr7n .r,-rlnr)rp-loir n'vogit )u n'rt''ruotg n:lu .l .lliac crest -;r ?u n'rt'ru:x 2/3 .ll .lnguinal ligament-n )u o')ru) 213 .lll ASIS -) n,?x'rn xvnru -lrrxn lliacus -n -'l''lvJ ?u n'voca )u o'prnt o':'o .lV
.nf n-t -Tlxn i'l'Y-lolx

)yr

xtnt n9'ln n-ltv o'-lt'-luotgi-l

)yl

xln ltv.rn
:;')'v-1o)x

nry?yn

4 rx 3 ,orno lv.r o'lrnnnn

o")r,{.r: o'Tnxlt

n't:x o')ty

o'l'on

nt)ysnnn)nnrrp1rrx).Lineasemilunaris-nly'],i-.lrl.]lX]l9X] otuy'rn ,r,ru? nn,rl:n -ll,ry 'n-rp cl-T :n,cr':v/) lnt. abd. obl. m. -;'t 'l'o )vJ o! nnxnnt otui?rn '"I'"lu ,trnxn -'lfry '"lrnx 1-r .Ext. abd. obl. m. -n )u nrtrtxrtgx;-l oy i-tnxnnt o'-ry' t) ,r' )yr linea alba -:. o'rnx: o)r> .Transversus

f;::r"# il:";1".;;-,ly-,

l;; Xi:il

J5

Re,-Tr5 bneqri

.. _rr.,)t
q

.'

pJtlir)

.?

[6a;r Di
1

u ls Lir'.* xr*rtq *.; iS' oLu\' o [ll 1'rt-'r.0orrrltlf' lrq&

Ert.abd. ollicur. , a?otc*ro{s

*-

ffa,rtlLfsn l
7no^r$.rs*tir

t:

SbC..

fl$,B,rlls"rf$3li

}*:ci'

fd;lfis c$d++'i''is
!

f"s+-tfi,ix"rr.x",

f bM;., *= . "

lc ,'?1 .{aa

g,:n11 af$4

o,gr ,:u) lnt. abd. obl.

lnf xt;'l lnt. abd. obl,

or-r'u'|

'l'o ?u nr?ygnn nln x) ,lutn le-T )u lrnnna % -: m. -;'r 'l'o ll) .o'l'nrrtx oruy'-'ln 't,lu) nrtr''rrrtx n'ttty r)u nrrtrx:rgxir ):r
-n )u nrnrx:tgxn

m.

nil-ilxttcxn ?u

or,-]l'tglx

D'ltnnn o,,)ru u,r,ru?,lnt. inercostal m. -;t

D,nr-T

)u.l

n'rxlr (Transversus abd.) ,n,:e trl'n t,'rul D'li7nu

o't'o ou oinnno,

pubis -n

rw

;rr>)

.(lnguinal falx)Conjoint tendon -n

nx'Tn,l

-n ':r )v nrnlrnn nrx)r) lc/ ntlv: l,)riirrnn' nr=on lr-r D,)v/nr ,o,'l-lv/r.
.Cremaster lumbar

)):1rr:

,D,1nx D,l,o

m.

ntx-tpt n)xa nrx)r)n

) Genitofemoral n. -n )u 'lu,rr l'vo 'l' )! ::vryn .n?yn 'g?l luxn nx lrun) rlpen
.

(plexus

't

r$
\\

rog .{ny+'.

3*itf rp Rrtrur
;bd,

+ta6/o-,"i*t

ir*t'svtrrug 6[/"' * f.*,'

TFa*:vtr"sqtrr t*S*qi
Pq-r

otidf$rs$: E.pg4g4fo#'1

S&[-fr{s. qPofr
-

iil

b.

s,i-.{.r aia.*n

st*f,

.t1ip,{t ri L e.

rft
+,i*a'r{-.

_- rl;
;r
I

r*,

''t*tqt:, t* *o*,u-{
.i!,

$u* **
r,t

Ydl.sl

hott- {,'r*a
trr fu r,cti

$*-.ttu i,{" - furi+

o

!r

?}o.+. sVr.3 g4

la* fi.4,'r*.,--t*, f* _t*-

I-*f. *p:1c<+r+i q

r'

rJ5

lil)
FI

)yl

:Transversus abdoiminis

"3 Tr,ansversug
abdominis,m.

/!
,: --;.\:l

1r;rr

rs!nrtol[:

utx

o,c,;ly ;-ltx

D'l'o .nlltrnni-'l nly)Y;l 6 'otno lur o'ptn!

D'19

.lnguinal lig. -n

)u

.lliac crest )u o'rt'ro:x % .3 ,?ru?n 1/3 -n ,rnxn nxynrv; lliacus -n r'rcr )vr nivogn .4

.Igy'lo;1 'l,o .Thoracolumbarfascia

'nuu +
.2

-I,xt9'oi7nn n)unnnn nTt-ilxll9xL o'n"non t'rcJn ':'o ): .nun ,9')t n?yn ,9?) i'r-ry n,uylr n:)rnr lliac crest -n ntlll -rnt'f. n'-y'-tgolg nf:tyt lnt. abd. obl. m. -n )U ,-.lt'-tpotgi-t el-Tn Oy nnxln Rii-l lul,n )'u n,rt,)yn ./o -: ntynuinn .otui7'tn r.]r1g) n,11r1plx rl-rlry x';'l 0) ;u]n ?u llnnni'l /o -l .orynnlx oluP-ln '-J'-lu? n,yo9n p"l otxlt'19;"lt otuF-rn '1,-1vJ l'l nl,-r9n 1u:n )u Innnil vl-llu x'n lr ;"I-Tllv ?u n':')7n .Transversalis fascia = n')l'nt-rlxn

nln-l nil-llxltgxn

.o'1.t9 0'T'9n,oi-l

lyt

:I:relx

Transversus

-il I'r) lnt.

abd. obl. m. -;t

l'l

o,.ilrv luln lgrr )u; n')o:nron D'lv!nt ll'-tu-lxn

.a!')r lr:,n

nnF-.1

;-tl,-t9n n'-t,-.lun 1'r .abd. m,

xrn 1r,)va rp)n: .Linea alba -n

.,-lrv 'luD 'lv;nnnn. nlvt 'ty

'flx

-'r,-'lu

Rectus abdominis m-: . y'-il f,.n-'r "lnr

o,ux-r ,lv;r.- Superior ramus of pubis .Fubic symphysis -n )u o'o:nl')iln

#T

.l

135

Rectus
abdbmirnis

Irt

:;'t,y-lolx

.
'''t,-)ulx;'l cl-Tl rttugnl Inl
-r'-'lc.,;'t

. -T'Xt9'Opn

)el

,..lt,-.rulxn O'19;.t nUU

.7-5 ntY)v 'otno

,l

pnru )> -l-l'T nt"r-Trn x) .Linea transversae = ll,f,n-ln nry,nD;'l 3 . oruiz-rn rsuyn) iTtLl ll'x xtnr ,u9n t,1u.ln )u ,-ri-'rootgi-t ny .ntoi?"ln nguyn )cJ

lru? nn'rp nr"rtry nrr-tlxrrgxn ): rlu nrnl )u o'lrnnn;'l o',)ru.r;-r x'nu(Semicircular line In Dnlx n-T'-l9nt o'19trn luln l9-T,l,tu ): rx ilgyDU n,?o:r:o:luit n'ro9;'l h, rr"l,u'-r,-rv.,n n nrr:r) oroi?-rn neoyn 1rn )x lnferior epigastric a. -n nx n'r'Ttn Arcuate line-: orx:rn'rcn
n:rn nun?r ou/n.orup"l;-r nguyn
Arcuate line)lup -|'-l{J;'} 'trnxn n-ryn otuiz'rn

tx

)u'rrnxn

clrn

.(ASIS-

.u)run nrrv )y: lui?'r'-lv/ :Pvramidalis m.

.Pubis-n ovy
.Linea

ill@

.Tnx -rytr pr o,'p o,nyg?r o,urxnn

.o'l'nlrlx

otui?-ln
o/oo1

I'tu )u 'tt'-'l9lx;'l ;typ) n,-'lt,lu:x oiztDn

: 'n-T?i] loln l9'I llfYy

alba l;l'Ylolx

-t ron .Linea alba -n nx nrnn) :n,i?9n

1.

2.

3.
+-

lntercostal nerves 7-'l 1, anterior and lateral brs. Subcostal n., anterior br. lliohypogastric n. 1 Lumbar plexus llioinguinal n. _)

-lrrxn "ulun rrrx .7 -it ,)uoli7-'lotx;-r Lvyn )u ''1,-'rutxn l,yoi''r "'y "'y tlyryn t,xr9,op? rnln -r 11 o,:yy )v.l o,lt''tulN D,g'!on '-ruolg';-ln rtrxn .o1 'on '?uotizrulx tyy )u ,rt'toxn I'yon -n )v.l ')ru)n 1,von .lLihypogastric )u 'rrru:xn l,yon '''y psron Pubis -n -rrrx .Subcostal n. .'lnn xr;'1r luLn l9-T lrl,yvtr lnnv/n l::'x subcostal n.

137

:n,nli? lut l9-rl n,]7-IIJn

lntercostal as. 1o,.1 1 Subcostal a. Musculphrenic a. (lnternal thoracic -n Superior & inferior epigastric as. Deep iliac circumflex a. Superficiat epigastric Superficial iliac circumflex a. Superficial external pudendal 4 lumbar as'

o-Tn

ni/90x

)u 1'vo

a.

-l
a. I )

ttrun nrtr):rnan
-n )*r 0..nu0r o.n?,]Jjnooo
nemoral
a.

'r'ruorg ol.n - n'D-r'n roLn r9r-r Urachus -n )u p)rvnn l''run nx o):xnn ,Median umbilical fold = ,yynx )e:: 1,nrnl 1r,: -n )u o'phvnn D'-r'"rui'r nx n,o):xnn ,Median urnbilical fold -n )u n')s> ,:v; n,lrol "lnt' ,'-ltryi"I lnf. -n nx o,n''rni't ,n,)g: ,:u o'n,,p ,n,)ru) rnr rry .supravesical fossa -n onl,tt Umbilical as. .Medial & lateral inguinal fossae -n llu'oa?u,r n,r:yn,:un.Epigastric as.
Ligarrenlum lercs r

li'aer Falciirrr:l', lr.:amenI *

of
unrbilicr.rs

epieestric a. & v.

lnferior'

138

trnguinal canal

I'?'l:1Xl'Nit

il:bVn;:l

) ),rpn:r lVn nxp nnptnn x,i\ .n"o 4 -> n:rrxv-i - n'Iyoerl - n')r'tr:'x n)yn o):xn lulil l9-T )un nnrp,nu.i (lnternal abdominal=) Deep inguinal ring -n'n'le no':: n?vn).lnguinal ligament n,yo9;t )u.r )rrtu nlrnr (Diverticulum) = nnr?U )u norc n-llvl. nrlg Inrt u:nt')n )u !vnx;r nrtp:) -n tx tx rtrn )yx Ductus deferens xynr rr nnr)'a 1tn: .tn-T'-Ill'luxi-'l rtx nntt)v; l')rto:run .n)vn: o'y-lu ;-ltiTln )vx Round ligament .(External=) Superficial inguinal ring =')x'rnt ':tv'n nnc nlvu)
)u n'r: yn ;-r-T'-n-r -r xn nx r n)) u:r uoTestis- 1ux
tY"

r;,:oj""Yi:j:i:

d#;::.l:i l;: il;i TJl:

Duclus deferens= vas deferens = v-lrn 'lll'v Scrotum = o')uxi't pu Gubernaculum testis Scrotal ligament *_.Processus vaginalis a -t-Peritoneum Tunica vaginalis + Superficial fascia Dartos <-Ext. abdominal oblique m. Ext. spermatic Jascia

Cremaster m.<lnt. spermatic fascla

.(-:

lnt. abdominal oblique m. transversalis fascia

pi;: 'ru,

r:r

vaginalis -n "'v loln ;c-r ?u n'vl'.rll'xn :n)vnn ntlvttn Labia -n )u tx ) n')uxn 7u )u nrr.rrnn;-l lunn ny .nr'?n Dy Ptl'nl lvni'l xln ]:t ')ru:ttnt-r
ri?r

n'uvt

Processus

)v.r

tgtolu 1> ,':ror)x? 'tu'n

,-'ri?nn

'rlyni-l

ty' 19t;-t

,lul;'t

l9-Tl l,rxn

nlnngnnr (n:.7t: majora

:

.ilxrv'i'l nngn

')ru)'lnl' i'll-lil no'l)n nr9

nlYl;r nt)t:l

n,n,

.')x'rnn 'nuun nngi-l -n ?v.rt lnt. abdominal oblique m.-n )u o'l'o D'lll n)vnn )s n'-'llnxn lg-Tn nR Transversus . Transversalis fascia -it n'-'lr'-'roor9 "rnr' -Ttvt abdorninis m. o'-ll'-tolx c|ilq;) lnguinal ligament -.n ln lnt. abd. obl. m. -;'l )u n':'o o'xJt' ,')tu);t np?n: -) Conjoint tendon-i ,'nuc,i nls) n'?x'rn ,nlvnn '-'lrnxn o'rnxlt nu-riTl ;'l')vn D'-'lllv ,n)vn) .n?vnn lt nx nttnn n"lvlln nupn (lnguinal falx
: Spermatic cord aorla Testicular artery {Pampinilorm plexus of veins * Lymphatics Ducus deferens Deferntial artery & vein

n)tnl.uj

EK oblique. abdominal

m.

.-n

)u

.lnguinal ligament -n )u.r angYt Lacunar ligament-n "'v onn: ')x'rna nnxp nrtrtxltgxn nx xvnl ;-l)vl-ln ): ':s )v nn'li?n

vtrn hn nx o'l')-lnv; D'llnn )::n)vnn lln

{-

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Autonomics neryes llioinguinal n. Genital br. of genitofemoral n. Cremasteric artery - n?Ynn 1n P)nr

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141

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)u -T,tun 1rn? 1u:n ))n )u o'iu nt'-rn lndirect hernia = r'q/' 'n)r 'nvugn v;?: }): -l't-rf ontxyniunuu;-r nlgil l-r-r nry'i?t ,n)ynn )v.r 'n'rgn nnen 1r-ivaginalis nns: n)'nnn rr il'l-'t;')vJ lufn .y-rrn ):n ?u nrguynn ?:: lruv xrn .-Ttxn n')u yi?f ti-tr
.n)u pun lxry) n,)x,rn lnf. Epigastric artery -ir

ypl .-l)rl o,yptn 1n .1/3 nrrnn ,r,u"r)riln n')c./ nrng :Direct inquinal hernia = -'l'u,'nvogn viTr nylun nuDtnn nxvrn) o-l)t .o')uxn 7ul xvn' x) 'oys elx uynllnuu;-l nn9;'r 1rr u):an nr: n,)ru) lnf. Epigastric artery -n i-l'i-1, -'l,uJ' yiTn .Falx inguinalis -) n')ru) luli) le-r )ut n'noun Rectus abdominis ,)ru ,"y l,)x,rn Dnnlv; Hesselbach u)run 1rn: yi?n lu' lrpr .nvizt:n non? Di-rl o'-r,-Tl o'-'lpnr. .lnf. Epigastric artery -n ,"y n')ru)r lnguinal ligament -;'1 ,"y 1';11'l1e11 ry1. .o,ur ?vx -r,'Tr rrxn -r,ul ylr .Dartus -n 1,r) rrun l'1. rnrx xynl D')v./xn pv.r ltnt -l'cl viTt xYnl
.Femoral sheath -n "'y

lruy xrnr lnguinal ligament -;-r '-'lrnxn 1rr,1 lru v7r = Femoral hernia .o'-Tt)" lvx tt:un np)v 1rr o"vn )ttlu t-t'-rr't - Umbilical hernia

MES;ENTE.RY AND. PERITONEIJM

n'yt'iltx ruv (Viscera=) D'?l'uotolxl-luo.ln o'-ltx;lrur 1u]'n ?)n nx -T9-tnu 'rt-'to i7u xli-] olxlll'-19;-l .Visceral nx"ty'l lr n')xttn,t9 't9y nl)vJt n?x n't:x orxltl'-r9n ;'rsvn l)n nxvtn) .tltn) ,stomach=n:'p :Dn lol.il ))n ,r:x .clrJly xrn tntx t:x) Prn y'rl-T '?rvo'tn olxlln'-lgnperitoneum ,Ascending colon,Cecum=o,ot D,'yn,Jejunim & lleum=o'y'r o"yn,Duadenum=ll''lo'ln =rt::)r)ya n:rynl nt),,v;;"I nrur)rn;Rectum,sigmoid,Descending colon,Transverse colon nX D,gyn n'yl'ipX rr:y x)u Dtxltn'-'t9i-t ,rrrx .(Lien) Spleen=)rnu;'t clonl Pancreas=r)r) ,Liver h:rrn n:rl')x:tn,ron,tey;'1 IX.Parietal peritoneum D'xli?ll ltlf;l l9-I )u.r'n':cn o'19;'l nusr brt: n',p "'rxv;lul ,)x,ylur9n ))n: .o,r:.xn )u ntugn nt/rln -'ru9xn .'rtto )rt: vJ'-'l9n;-l ,nluu r:rn )yx .D'tlxn nx lolyu/ ,?ryo'ra ;'r) '?ox,tcn Drxltn't9it l't l'-t9nu n'1yTD nln)l '?xttn'tg .onrn 1u rt-tylyn;-l ntyynNf ,lry'ni) o)rv) ru;r t) u' ;r:p:n ?vx .rtto ))n xtn '?x:tn'rgn ))nn

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143

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144

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.(Langman 6tn Ed. 179-176 D'-Tlnvl D'-'rrY

iru? t-rrlnn'ynn ?nlnn 10 -n yr:sr .o'prn o"ynn )u nprn nlnngnn n)'nnn llf'on'-)nx l'n -rlf Dnu D'p-Tn D"yn;t .1u:n ))n 1tn )x ne: xtnt ;tnlnn D'ot;'l o"yni-l nx o,9nt-T rxn o,)nron ,"y ,-ynx;'r .1rrn 1er? on)u ruTa ?y o'lntcJ ln Inrn ): hx D'"ll'"lool9nl o'i?xnc/n o"?tu) ''tutrnn

lllon o) XIirl .ll'"lo'.ln;'l nX o.l l'n'-rv):rton ?t)'vn'll:'Y ?U lll'on n:,7n ?u n?tr:n ;'lnlPyn nllg ,l)n irxytn) .')rrx7 rr:pt ')ortrc DIP'nl ')u':o-I'D)xnv.r lrr:) .n)vn)t ;'n' 'e): i-rlui?n ;'lnly'ynt ,nun)t clrrn 1s11 nl'p;.l nx rv.rrpu Dorsal mesoqastrium -: )xnu 'e)) ntng:rn nv'gtn nt llul .,-ltnxn llu;: .1,)xnun n,))n nlttl ,"ltnxn elt)n l9-I ,g?: tntx nutvit )xnc.i rvl ox'r7:e n nx lnlo ;rr 1')nn )xnu ry) 'tn)) nrngrlnn "'y "lnl: xtn etl )tnun or Dorsal mesogastrium -;1 llnl nrgnn ,nr ' .nptnnrn nry)y? nnnn 'ltnxn p,)un 1u:n )?n )u ,)xnv.ri-l -Ivl Dlpn ugln xlnl
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.Bare area of the liver x-'lplt otx]ln,-r9n

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.Hepatogastric ligamenl o) x-ri?lr n:,p)

.Hepatoduodenal ligament xli7lt lt'-to-tnn

nrn nx ruiunu p?n .1 n)'nr? -Tl)n nx rv,tpnu iz)n 2

FalcifOrm = Un-tn ntrx o,)l7nu o,)Xlgr,-rg D,9T ,tU ,',y ,nli?n elr.ln 1Ot) -rarn -.,f.,no n,)rulr ):n xrn -ultnt Ligament teres .(Teres = )t:y) Ligament teres -n xyn' o'lnnnn t')turt ligament .n-1,?n 'rnx ln 7)o:nr r:o:u.r ,Umbilical vein ='-rlry;-) -trtun -I''tl )u lrun xt;-lu 'ut'rt'9

))n n:,;zn '-lrnxn illv' ,)xnu 's?l Great omentum -n )u rtng:rnn t,u:v xrp:u) ')x:rn,tgn p))nn rxu )> ov nrt)vJnn t) u'u y-rgn I'yn ilunnn ,Omental bursa rlgn-Tnl -Tl)n rntny )?tt oyntrynr 1)rn xrn )rx ,:nr nril -'lui7n ory'n -'ll.tvil ?vx .(Greater sac xtnl o,'nu tx rnx y:yx ?u "loty'l -)y nrg nnn txuJt tL-T )u tgro:u l) ,'|"llnxn 1t.ln ;lr) olt-IXt-Tn )ro,pn 1rn lx nt')uni-l or u, lui?n 7ul .Winslow ou )y nnsn rx Omental=Epiploic foramen xrp:
Lesser sac= -;'l
.Greater omentum -n
)v.r

-n ?u D',)tu;'l ,iln,-rpn .n:n )u Caudate lobe -n nxynl nngn tr: :Epiploic forament -n nt)tu -Tl)n nx D'-luPncJ Lesser omentum i-ly-'r ttvj 'ttnxi'l lnn l9T ,"ltnxn .tl o,y-lu o,ttrnn 3 0v n}p) lui? nn9 ,rl9v-ll .ngyron )u rr':n'n n'?:rnt ')ux'-t9 Dlxltr''t9l ;urn ?)n 's): ngtvnnt l.V.C -a .Omental = Epiploic foramen xlTrn

nf

,)x:rn,-rc iTn '-'lrnxn Dprnni'l rr.ro

)?n x'n 'ltlt.nl. (1upn pun tx) n')u:ntxn i'lo"llln :ot:'o? .Omental=Epiploic foramen x'rpri-r lup nne l-ltvvnxL (1r;:n ;zvn) ')xltn''le;-t )?nn r:r')'rllnnl

Gastrocolic ,;-lL,i?;t .)cJ ,rtnxn r'7n ,Lesser omentum -nn'-Ty'n :Omental bursa -n nt)tr.r -ox'-li7t9;l )u '-'rr,'ru:xn o't9n nou -rnxn .r?u ;t)tptrnn ny Transverse colon -nun)n .ligament n,):rrStOn nOt)rnt n'51 )yng ,)OX,rg;-t OtxltI'-t9l ;-.t9typ;..1 '-.ltnXn clt)il r,p n)Vn)r nUn)n nun '9)) .rr')xnu-r;t

'

rrgyro)

lt)n -ltf'nt tl')n )g n,)xnv;i-t

nlrx;'l ,,"y n)lttnu.l Recess nnl)u norr:)

u'

1'n')t

Lienophrenic
'g-rn Di'l

, n'?);-r nv ?tnun nx "tnnu/ Lienorenal ligament-r n)xn o'u:nr'?n ): .Gastrophrenic ligament -n ngy'roi-r oy )tnr:n nx -'llnnu ligament .o'lYyl ngn) o-T'?: o')':nu nlxlln'-'r9

-"if""';;'?"lqifft.

nynr'totn )u o,:.yn) o'tlx -l9on D,i7n-Tl 1u:n ?)n ,rrx )u ;'rnrvyn ntnngnnnn nxYtn) :3 r?q./ '1ti?D lgxlt (Retropritone=) otxltn,-'t9i-l 'rrnxn ontpn n)'nn>?nu oir:x '::? rx 'run 'tl) tnx o,Xnn D,lpnn O,'1-.lo n'n6un l,t nypn nytnl -.lUX) .)Un? n,?:n lnt ''1nx;'l cln;'l l9-rl o'nlln ,n0u tlv., nx i-lnxnn n,-tll,n i'lny'-l P"t n-]xull y:nn 'nuq.rn IX 0'-T9'lnvJ D"Il-'loil o")x')n'cxn
.Fusion fascia=t,rnn
. ox-li719;-r rlrx: )un? .nlnly'n'l9onl o'xvtn a)x: o")x:tn't9 o"ln'x )v n:rn xrn tvJX) tnytln nx -Tlyn xtn .'?u:ntxn Pv/n nl"lvl;1 ?):: 'ttnxn eltln 1er) 1n-Il ox"ti?lgn -Tlny 'l) '?ox,t9n Dtxltn,-'19;t Du 'Tn't o?y: rrnxn tnrx lu!cJ 'Tt-ron 'r9yn .n')xnun n'):nt nrruil ,)xlrn,tgr'tu-r tlx nln? ox-lpt9;"1 l9r;r l)'-T,)v .pfrl RrnU Dri?n lntxl'"ltnxn 1t)i't 191 nx n9'Yv./ .n'r1r1,) nu't r-tvJgxnt o-r ')) n-'ron x'nvl Fusion fascia lntnt ':u'n

Dors
.aorta

Idesonephr.os
DorsaI

Adt.enal

Caval pl!ca
Parn

rnesoga*triurn Slornach Le$sor

orneftturn

Liver
A

Falcilorrn lrgamenl

rE

'-'ftyr'rgl rG1 /-' th/(i / ol() ai\ t; i\l

Inlsrribrvena cava rnssOga$lllum Spleen Lesser

OrneRlum

Oorsal

Siomactr Livsr

F*lcitorm llgament
Dorsal
aorta lnlerioJ

eri,^
'.i,
l.,lj:ni

,"(f

a firt
Kidney

- .,ji

vgn& cava
t::1,
<)

Small

inlesiino Oescendlng colon

F

0so.
eQlOn

Mesocoion
G

.'ynit nR)r) lrf.,on nxvtrl '1r'-'luorgr 'ln, clrp'n) y'r;'l il'"lo'-tnn .lt'-ro''tn;-l oy Dt it-lrp nnn -ll'T xl;"lu l),;-t tn)'nnl 1u7 rrrx? u-I9 ,xl;"r o)r ''ltnxn elr);r 'r'y') rnrx ltgnr-T ':nrn 1r?tpn nn,ny lunn . 'lu'n 'lxlrn'-l9r"ru-'r nl'n? lgln',;11'i7) 'lunn oxtplgn ?vi,tnxn nt'yog l'l ly'l D',y' ,Dn-Ttxl-Tn lyt,u )n,y ,yni-l ltnt xynt ox-ty'l9n ux]u lt')n olyl nr Drxlrn,tg D) .;'ln'-Tizn on,lvi nx ;rgvnqJ orxlrn'-t9 )u 1v-r or ,lnxn lt'-ro'rnn )ur ,rnrn 1t?r7n l,r y)nn ri? l")rx ):)r nrx iryrn 'fntn il?riznu Ir,rn -lurnn:rp)n: ll,1o-rni-'lr ox-ri?19;lr . orxlrn,'r9n o)yr r,rnxnu
D"ln'i'r o,'hun nx Ascending colon -i'r Descending colon -;'t o'vJgrn ,o"yni-l nrnngrn lrol lx otr) n)x o',yn ,izln Dl o'n)!t D,'Tnylu Drxltn'-'t9 ,'lTX ou ol ;'lnxni'rt ;uu ??n lu o',)xnunr
.prr)111nr191-'1ur

nt'a) o,)lrn op)n:

i't ,o,p-rn D,'!ni-t y'") on -'l:nnil "n )) lunt ,!xltn,'t9'lol'x Dti?'n ly o,rnrun D,,ynn 'i?)n .,bxllr,r9r-tur nlnt lern Rectum -n or .Sigmoid coion -;'r ,lnri-'r [)rpn .Coecum-

152

ligmer{
Heoatic vein ontcllnc inferiol ' ver.a cave

Lafl kiingular [gar

Esoghsgg1

84re atst fot liwr Hsgatlc root Fight uiangulat llgament

Phronlcolidul
encreaS

liqffi

Oldibilurn
Rlght krdney

Attlchmed ol trinsv{
me3ocobo

Llnc s'l allachocnl ol

me9enlely

liQhr collo lusion jascia

Penlcnssl rs{lection i8Lrel sid BEcending colffi

Poslsigmoid turi:t

Median umbili.cal

iig!fient
Medial umbi.lica

1"20 Trhe llnts of attachmnt of th gstroiniestlnaI mggefllries which ramain altar:rerftoval olthe vlscara, The co
own (trom arfgtnar ol fig. 7, Mark A. Hayss 4rn. J. Anal., 87:1 41. 1 s5o.)

-.lll,on

nt-.tyri-.t X,i-.1

rnX

Xn.lt-T .-Tnt,nf. D,nntyvJ OtX]|I,-.19

. 0'i7-ri-t o,'yDn

'y')n OIV/, 'tnX nl'yO9 nt..lftn) ),:7n: )r,:g )y ;]ornt ,ln-r;-r lhri?? )!n'ugn'r)n )):1rrr xlnuj ')ulnlxn

n9,lnn u-'uu .n9'tn n-ly )!l nlln XlnU O'plit o:'yni-t ?u MeSentery-n xtn -rnt'nt nnlgll 'llrx -lYl' n)rr.r .R. iliac fossa -n lln) nl'n't irun 'sin L2 -? )xnun lunnnn n"o 15 l"llxl. 'llo))x lP -Iy y'ln ng'lni-t lnl-'l .'n 6 -: t:rx ng'lnn ?u ltrxn . n"o 02 -f
)> )vx o'vr:12 Dnn p)n .Fossae=o'ypur Folds=D')sp nrr:r' Drxlrn,-'19 '?c;t )u "nt9-Ttv" rt'tnngnn oi)le'p? nnnnu lfl oltl'un .x) DiTlnt o'-'r)ti7ot D-T '?) D'?')n DP)n ,D")'lx'-ll Dy'?nl o'ulxn

nt't'tn -ily'?t ouJ yy'nn?,,!D nlnl)v/ lf-'lnvJn) o,)lt,o)rn)vj Recesses -lvl;r? o')lf'
.rl')xlln'-19-lolx
oti?nLt JejumnUm

-)

Duodenum -n

)u -l:rtil otPnt

:nly'rn o,?9i? nt,tnngnn

.Cecum

-)

llu' 'yn -llIX 'lu./l lleum-n ?u rl:nn

-n;ty-l t)tnlt Appendix Ingornn )v.r rrnn xritu yniT )e7 t:u'lleococecal -;-l -'rtl'n;r'ltrxf Coecum -i-l '"ltnxn .itore I'nnnn -lyln Sup. ileocecal fold xrn lorl yniT )gy' .Appendicular a. DU nn,'i? ?l> lrrrr Cecal folds o')ey' -lgon D'"rvD DUr clnn -'l'P) '-lolrn "'v l-llL'n o"P fossa
.Retrocoecal

lnl. duadenal o'nys) n,'p r,']r,-telx

.,Retroduadenal fossa

-'llrxl : Itotgt o')c7 rcon Dlu' Duodeno-ieiunal-i-'l'lrf'n;'l rnr' .Sup. duadenal fossa rnnnnt Duadenojejunal fold D,nys) ln"i7 Dn'Txr-in nyy'? nnrn .lnf. duadenal fossa t'rrnrrnt fold

153

I.,."

il={ !t: -\

::--:*
FaradtLodena[
:i

lnld end iqssa

s. * -i. *

Meserrtery

lr-lfaiior

rnesenterie V,
fnfe-rior d'r"nodenei {oid 'and

n*r,,.ucuoa5il

,ouu*/

fcssa

P.eriteneai lglds and fo,ss,aa at the d,uod'enoieiunaf fiexure. rr)rus rpv .nr,9 1ry'91 lyr .o,::) DT'xn n:.rn ),rnr Lt;'ty yly )yr ,r'ny :,?x:tn'rgn )rt:n D,-)'tun -tc/x) ?rt:n )cJ n-rnnn ;'lJlnn nn',p 'ynn )v.l np'u)oo'lsn n)tve :pvr itn)-l9x'-T;tl ;o:n ;or )u lu) , .nt,)x:tn,-'19 ltni't n9n,?i-t nrrr:y) nrrnr )rt:n n,l'go nl')yl nvJU ngy-loil 'c): xtn nn'-trn
6 -n :.rtvy ?rpn ,)ru)nr ,"lr'-lulxir lurn l9-r nx ngYn;r ')ox't9il Drxltn'-'r9i-l :Dtxltn'-t9n lllYv ,unl-)9x,-T;"1 DrRlrr,-'l9n )u ;zlnn t)xt n':tvxln o"r:nt)n o'tyynnt o'ltnnnn o")prlun D'fv!n o')7rrun 6 _n ,Un)-.t9x,ln DtRlln,-.l9i.t )c., ')-tg,rg 7)nn t)xr D,i?,t-l9n D'l.yynn :rrxl )r7n -i:ln. Ll]yy ):izn ;ue;r )ln n'nnn: - lrxn '-'llx nx ltgvn'el ')ux'rgn Dtxttr''l9i-l .D'llnnni'l nxr nnry) .Greater omentum -il Di ?"t)t 'tto:o'ri:xv 1'x ')-'lvo'tn ntx:tnrg) .Obturator n.
.nn,nn)
o,U,t-.1 D,o)i.)t o,i7-Tit D,,ynn

?u ,tUlfnn

't

54

bt:y,n nfllr-n
E-ta,ro,-t)ti?-l,yt o,h,-Tt0,)lt) o,-t,-l\r) It-Ttn '-.ypjD -T'i?gn

r.JJN

Esophagus

nryr)nn '): rry,) a-T,p9nu llrnn nx D'n-Ifni-l rlu)uo,rc .nL')u nnnnl elt)itu) ti?yL
ovJt;t tu,l

)y:

xrar

n:,p) (Bolus=) prnn ),lrn)

v;nun

nn'n9r nt,ro) lnrln Drunun - n:,p) uv;rn no'rf nnc ?cJ

D,lnnnn n"on
esophageal

Nbsal ca#i[y
Chal

.Lower Drnou ul'x

nlgn )y

eavily*\

nrsphincter
.

)rn r'r!)i-r oy .'r r)o lynr. ,-'rupl'9on trrx) 'o)uo'tcn .t-tnltv.rn xrnt n'9-'l;'l nln
xrl
-lupl,90n )v.r 'rpv;r r-T'i?9n .uurl prnn ntrn lx !r:n)

-tDtu D,"r'-lcrn oDtu

r,nrulx;'D'nln

Lerynr

Livr:rGtsil'

Corrnrnon

hepdrte duf{
Cgrnrnon
'bifo,

$p.tren

ducl

Faneieag

Traniae;ie
e,ctsn

Duodenrir,n, $sCgflOrflS Edlofl:

Srffill ;niec$n!' tre$cendins

colon,

n:'iz - stomach

Sig{flojr, cg{6n

Appe*Cix

Rrlclum and
cnel

p')vn !f."ll ;-ttt-'lt rnltD nn,non .lnr-Tfxn )s '?xnun l,n' -Tyl yynx;'t tp) -llyn .'rlon irlr: -Ty n-nl o,nyclr lnrn ): nrunn 'rlx xr;r nl'i7il
,T1

:tta genort FIan uf {he digestivc traq{. Schemalic.

ittr:l x';-r r,1r'-r9ton;rrnx;-l n-Tri?l:n'nlyp 'lut ni?rtnD;-tl'i?n .ngyro) Gastrophreniclig. - u:n.r'? "'y Cardia x-'lpli-),-'loo)r:9rrxi"l -'ln,nn -'IITX'1lrnn DU -'rf.x xrnu/ -'l:'rnn xrn 1r)r '?x:rn,rsr-lo"r lr,-!o,'u-l) '>unn Pylorus -it'lrrx - 'tui-t nyi?n "1trn llr) -rux).'-rnxn
1 n,)tn 1r,r )xnu)r l'xr9'oizn
.L2 rx L.l ;'rl.rr:. n,n,xrn n,l'9ro nnnnr lr,ln

.lt:n nnnnl D"nu lpyr rnr),yc liTy rn'rv nx

t3:

L*{t cdt;Jle$;ra

Ar.rxfldirr{ *+l+ir
T,srningl

D*tc,--rrJli4

cob.:'r

ih$n
,&:rltiJric r ,\!j pErJ

Ccr"tlin ancj
l1['rpfii)cli!]

qr

iilitc *,cif+e

SiBnroid ccilr'l
f.l* (:lUlfr

.Figiirrr' ,l,l&.

-9url"itc,l

11.1',4rir fl,cjgr:r

ini:l

ryf

il?uJ

nt,)xltr'"t9i) n19uynt

ei) urc n;-r lnu

f""r]l--"4,

A. l tl;

i! il

*i ji 'x !r ,J

it
lf

I'

t I

\r
r'iud ,i*-;1

i
1

!1 \ Ui il i1

rt

'-\-;

I i
li

:nL'ili-l ';?ln Car:dia .1 Fundus .2 Body .3' Pylorus .4

cardri
cardtbc
{1{ovur

".f'{ *'-TI#
F".r.l,.i

n)yn ,9)) nt,i?;-.1 -.1,i7 n)ty n'r1i?n )u )xnu rYr = ytntn i?tny ytv./r Angle of His= n-In n'lr -tYl'l
.Cardia notch

^ott\

ks?r cqY{{trr,

k"".
ad/

His u"y n-Tnn n'rrn .'r'tx nr -ttrxl uurn )v.r Hiatus -n t"r-T nlpn )u

.n,)xnv.;n nnllsx,-T,-r n:og nx)nn Fundus -n n9'f

u.,'

'nn

B-TXI

n'nlni?yr Lesser curvature n:up n'nlnTrr nlp? .Greater curvature ;r)tu nlyn ,g1: rr.,rr ntur ;"nrri7it n'ntniTvn lrrx) 2/3 -: ''l)'9n p)nn 1':) ltrn l'l nnnrnu Angular notch
Pyioric antrum

"*TJi::

. nr'7n )ut

l'l o't'ntn n:'pn ?u 'tt)'gn ltrxl Pylorusn t{Ji7l'9on )u ntrv'nn l'f} O,-.1''.lg.1 - n'-.t'-lVJ ;Sr )V: Xt;t .'n'nx 'ntglX OIIOVJ . n'rt)'gn n)vnn nrf-tnlr nrv - o'r)tpl'r ?x y,;n nl.'i7n nx r:vu.r 'u?uo'rcn )ln lux: Qrro{cr t -rLyn nx -lugxD ,rt':u-r tson) nrgl xln otlt)'gn o <-ufuo\\rrc tn'lrn nx Ylln lx 1t'to'rn) olltln nv.rncJn n,)n,optlen rux> ,l'?uo'rt rr')n'opt-to ;r:'iz) nlpn nx n'7?nn Jl'nvlln i-ll'nln lonn I'yl .o'otn o,p,p)nn nloiTnt ltu)or :rly )u o',o,c D'),1;-rn -'lLtlr ltrni-'l out ltrnn )u nTtx xrnu ,Fundus

Esophagur:
Oiirphra6rr't

Feriiarreuro

l:

rt'

]i

:,? lt

.1i

.t')x v'ln llrnn -lv/xf ngnl:T i-ll.xu;n: ?ytc ')uo'rn p)nn

nngTl D,xynlil nn,nn) o'-lugy-l ,n: .r,hrntti-u l'f.yy

n-ri?tr

l?ygnr trny? nnttr pH-r n-r,r,

.nr')?rnorxr

pH

nnn xYnl nf.'iln nlli?l"lni-l llllln . nfxunn n)Ygn) o'x'ln nl'i7n

o'-'ltu9v')

r13s7) nrg';21;1

o) oltj' ill'i?n

o';z)n 3 -)

. nlxvJnn n:'7n nx o'p)nn nu-le;'l nl'nf n .Cardia -il -llrx .1

'BodY -n 'Antrum -n

.19-Tf

-llrxl -li7vl llu'n'Tli?;'l Oxyntic -r Parietal cells ;>rn:v.t nrurl: clrrn rrxr .Mucus= I'l ntul)l ntns D'xrnn a:,pn )u ')uo'ln -'ttrxl .l.lt,09ct lntrinsic factor ,HCl o'PJ'-tenn (Chief cells) cells -tlTx) tnt' tX D',)uX,r9n n,Xll. iltUni-l Gastrin or) o'u'rcnn n,n't9 nq.r't9n ,Xn olu,Antrum-n ,rr.r? nlt)ttl utgtn l,-too)n .o'llul-'19 nu19n rtrr) x,:nn Carbonic anhydrase n'rlx;l n'l'Y' 'lyy no'l)n ;-'txyln) nl'pn l)nl 4-3 1yn pH -r n')V lU 'ntpn 'l-'l) "'y lX Oltlil "'y )rtnn '9u9n'O"19 ilrnn

rrrx rtrx

.2

'3

n|n) nr,7n

l9n ,n'lllyn nlfllnoi"li'ln nXYIn) :nl'Pil ?U "nt:)Un 'on"' y)nl xl '-'\r'-rulxi'r D,l9i-r nuu .'lt'tuotg) 'ln'n D'l9n nuqJl '"llr-)ulx l9-T D!t n)yn)n n9y'toit Dy -rvl'
lc,l ,)xnv;;-l D,lgi-t n0U

t)u o,':n,n D,,llui-.ll n,)u:nrxn no.]ttn )u,nr7n'l'i7n

lx

'-.]l'..ltJolgi'l D'l9i-l

nuu, nun)n 1ur;r

l9-rl o'nlrnu D,ttnn o'rnD int,)u f.ynl .Quadrate lobe -nr n,)xnu.rn -Ttl;t lntx Dy yrnt D,xl n'?fn nlnt' ,)rnun ,ngylon )u Crus -n :"nt'i?n to,n" nx n')u:nrxn ;'ro"lt:.n )u ngyr:r n'ttnxn ,tn'til 1r?rpnr oxrT:sn ,n')xnua n,):n )u p,)vn np)nr n,)xnun

)u

;rc,yrr n,yynx ;lf)u,

,nl,nty'y;-t

: o'-t,-)u,' nrr:u 3 -n it,nl nr'pn )u n,-.l,tun l9-r;.1 lrrx? rpv: nr)t'tnn o,'):,1u,:rr? D'-.1,-tvJ )u n,:rv,J nr:v,,
. n'-T-li7n )cJ ':r?r,T'gn

Dr n,n-lrr,'s/rnn o,,-.,r,p.'' n,:,o? clor:r

f q.rl,ys

-';;i :ll: XI]; -tui7t'9o;t H TlJ"rlff:;'J'I]-' "Jl:

n'r:? nnrtgx'-Tnn D'f'o
lf
,ror

:l$fi!'l ,[jl{lll]nr*tr ru*:c

g&r!il
liitilt! tEir,lLlt r+a-iril tF ir).lPtt

frg.l bcr

LutaF

cJ

-tu l .!l-Bt,: l.

'a,loi5ti49!i.:i

c.fd q*e i,r1:'r.Igr

/sodrnua

rfirrle

u.r,l

rfii;
I

rylorls *rnu I til.lrlit rphftnchrti

iirgi lrrf treiti 'lnrl'd:, ri'f' nsrnui circr

nlrrrn n'ntnpyn nx .R. & l. gastric as. -i-l nti?eon ;'llop;'t n'ntnizyn nx :n:,;z) orn nTcox )r:yn n:ryn ir:x )r nx izgonvr Celiac trunk -nn lrrpn 1)r> .R. & l. gastroepiploic as. nty'eon
.Foregut -i-) i't'n ''lLty;') o-lty'nu/

158

Es,)Bhagssl br{r.ricrr4$
['lr:Pa:tic brAn,;h Le,il gostrlc.a,

$piunlc a.

Shon glitsltie

a.

Spl&-s
b+s.

ielp*[i*

#ormnol
a.

1".' .1,,

tlrnpler

e.*,riiae
H.

tiepaIlc

lrunk

gilsiric
5,Uylr'it"'gtrO0 br,flnCl".l

H,igh{

a,

'Garjl,sd.u+d.^recili s,,

RElrud,\.!s.
fl.+llls$

bt,
Ga'stric
L*lrt

Anifrlti0( Er.i rrf;{is{

B,&;t'l$il8fft!0D.

fuanehss.

gE!slro"omont* {$Pi;P1e61t.

duodgnsi a,

t}.msrrulal (epiplsic] Frencr'*r Hlghi,qa,stro.,onnerirtai (epiBln[eJ n.

Fl,G"

l/tr-g'S The

artie,rigrs 6rl

thg s.,tsneaefi,
)':pnr lltn :'r'rt
rtP:

.n:)

n:?rnv.r (Vena Porta) Portal vein -) rp:nn l)>t n'prtvn orn npcox)

nrx-li?lr Celiac trunnk -l -r') nrnptnnn ncn'? nt'-luP 6-3 -) o'r7:nn ill'i?i'l'nuu )::'ngn'? rt;z: .Cysterna chyli -n lx Left lumbar lymph trunk -;'r rryynxl ncn')n nnrtr ou.rn.Celiac nodes

rryfnxl. y-r,n o,x':nu GVA

.Vagus- ;'r tyy ,"y pgron ,oo9n,o-t9;t tD.yyi-l ,,nDtotx Lrl.yy :i-ll'7i't lllylj o;t'lvluf Esophageal hiatus -n l-lT ngJr"to;'l nx uurn Dy -Tn,l o''l-Iln or)ri'l )v.r o'i7lrun 'lu nuvj Lesser curvature _nn D,u-.l9nnil D,9,yo 6_4 n,plon on n'T.li?i-.1 -.ltrxl .uutn ;,n') o,n:rn -.t'i7 nX O'-.l-Ttn O,-.1,-.)Un nltr)Vtl O,:t,h::r o,Orop)S) O,y,tnt nl'f;-.1 ,'-.lt'-'lUOtgilt '-l'-rulXn 0,19;) GVE )ton D;-tv./ D'ou9n'o"l9it o''t]t')lt:-t9n D,l,o;'r l,l ;to9l'o;t n'vlyl ovJ .n'.t'-lill lt-lxtn 1,:)
.rron

o")): B'ol-l9x grr)1vgr1 D'l'o o) o'xull ol:ln '9'yo .ll'hl)l

. (Solitary nucleus) nlnn

vr:tu/ '?-tvo't;t 'nqJlnrn 1'v'tl) olllir

/
l4it grsiric r:it
Se,luor
t7 j

Etnpll!1qirl i[+r{h
S.rlonia srlrr'/

lrtrri
({:'\' i

H|irrl,c

irriirl '\.
i.\

t".
\

L4

rr:

d I

tr

'1

Ft,Unt

t,..J

il

gililfi,i ftrlrt?

Irr::r':uu ldu'ral

;:.riur;1
'1 i.'

"1i

li8hi qiq:rq'trt:firt?l
[tilliloe[t{rltii{J
JrtErj

l)i*urrf-:1$. ;\ntri+r;ltirt':rl.rnirr:hru.l:pl;rr:rr'llqBnril,rrrrlrtrlryi:il|!ljti:fi-\ltrtrlr!-:1r'ttrulltirtuhtrrtrrrovtC lrru l%i) !re!s ki tbtr" iir{ rrr{ttrlqrn:iic rrllr:rl n!11nt}:.l rtj lllr irhnDJn{x t,ili

Esophilg,.;l Ffaxu5

Pusiericr vagal truRk*+

l$l .i.rarJ3l (rr$nl{

He.patis. 'branch

Gaslrro.

duoclerul
,branch

Celiac branch, L:ett gaslric a Celiac lrunk

The abdorni,n'al branchas of tfie antafior and post6rio!" vagal trunhs.

l'!,on.ittn;l o'))t 'Tt)) D,9'yo n)r'ur nlrg ount

p)nn Pa.rae.ardial nocjes

or"lr)'9) ru 1,unn t-y,'tulxi-l izt-lun lunn rv'vnn'p)n lxu) urgnnlpx,)rn orop)rn ?x 1'unnr orrr),c) ly l,unn xln n:'"1t,-tuot9;'l .':nrn p)rpn )u'lrco,rn

.r-qfI g,aa[ric

\ eeliift'ri,ldbr'.r \ \
Fighl g;st'r.i*

nCrdeS

\rt

rodee \i

Htlptiic{i
nod63

I
Farn-c

ieat iioIie,naj

n0de$

\ ry,1esic n+des
Hi-rhl; 0.fi $tr o-q

B if;rl-c

i'c

no

d Es

ThB' lym:pliatic d:iainaq,e

s.c.hematic,

sf the s;torTl,FCh,
n. -n
.,7x,?vn 1r,)::::

$emii.

o:lry'nq/

tyy,t'o )':rnu.r

Greater splachnic

"'y

rn"lnl n:.,p) n,uusn,oi't ny'goxn iroelo o'v,lryur (T6-T9) ,)7rru

rnrr:) n"o 25 -) r)x .'-!tnxil lr)n

lf:,L9 '*Pit+,p,S ,m -tlx

,)xlrn,'renu"t l9-Tt ytrrpnu
.olv.r

'n)r )ryn nrry )v: (nrv:vx 12 .rr,)xlr,"r9 ntgoynl o'9luy ltu rgror rn),nn
:o'a)n 4-)
L1 n:.rrr
L2 nrr;r L3 n:r::.
on-Ttxr-Tn

.o,y'-rn o,,t,rnn

)u ;ruxrn

p5nn

nlx n"o 7-1o -) t)lx

n"o 5 ->

nx o'7?nn Superior d. .1 Descending d. .2

lnferior d. .3 Ascending d. .4

n"o 6-8 -) r)-lx

.n"o 5 -) r>rx L.l

n:n)

-T!

y')n

irenq:nt'iikxl durs
*,ir:n
r..r

lu:$rlo,r i'rf4

g,.irn.u

l6ir.i*rl i,ll

i-l.r!r

cf r9r',6fi1g{* pi51

Quadrate lobe -nr nrn;'r o,) oy y.rnl.

l'-lnxnl I'nnnn.Porlal vein,Common bile duct,

xl r)u p,?!n o,:en

: lt,-to"ln;-r 'p)n )u "nr:fun ,on"' nuur.,pex uur -'superior duodenum Gastroduodenal a.:o'rrry tiGnt :tr:n fu .ox'lPtgn vJX-t xYnl

.t

fitr

"1tr

f sEfT& r.c:tf

srrg+r*iv

Lfi

ft
Jto..J*tX E
q&
".n
!-

ir

t"tr*

.uf,i

f -il C".^

1rt^ttr d*a.*"F--' For,(\r(-irttqT) /t

tntR ;'lyrn nu/

_ , L3
};,*

- ,)ox'-tg Dtxltn'-t9n "Dt-.l!" t)uJ ,yynxn 1/3 _n .,)lx nul - Descendinq duodenum ny y.rnt x:,)r7rl:xn 1/3-n.l:n ?u n,:n,n nllxir oy !)nl xr')rprsron 1/3 -n.':.nrn 1r)rpn ' 7rn 'lnl ')tn'l

-ltt,nl .ox-tptgn ux-r Dy y:Dl xL'lx,rnn D,)9n nuv./.F. Psoas m. -i-r 'l) )y n:tn xln n'-ll'"lool9 -nl (Choleducus=) Common bile duct-n ,rr-lnv ,lrr./ D'-'l-Trn t)u ;tnnnnt 'yYnxn 1/3-n I'r -]'y'n v.r"v Greater duodenal papilla;: nn9 l-'r-T D,nnglr ')x'rntrootsi-l l-r-T ,Pancreatic duct
ACceSSOT

Olrl lf-t-Iv,l ,yYnxnt p,)Vn 1/3-;r l'r. ;1ll)l ')X'tntlu:xn -')'pl cloll nn9 D"i7 o'nvs)

.Vater

.Lesser duodenal papilla x-ty'lt pancreatic duct

F{rhidp-!

Frs';n he;!

U*lihltFdd*t

,f,r

-,E,.iUS

f,,rlE!n=

inF
itt,

Spil* Jtld

6ilnjfi$ Frirjl #-iilffi#at"

flc,nainn ham:trn da*t

-iErG:sel:,i[iE']

tt1'n
0esre.nd,lnD nr
r.?ltd:piitrl .$i

H*:$**t-ru,*
\f,lL?:t Irl
t

:,i+,

.-

duod*nurn

HEpatFFar{,cittilt

nrnprill

lnf. -nr r)u ,nrpn o,lei-t nuuJ

lx

nyrn. Sup mesenteric a.-;r .'i79x tttl) - lnferior duadenum .t'rnnn -T'n i-lo-ttxxn 1n nxvt'Mesenteric a.

trtxltn,"t9l no)tn nn'tp lltnon ')uo,rn rnxp .')xr:n,t9l"lu'r l".r!/ trtr - Ascendinq duodeum ;ryty'r ",y lyt,n xl;"1 .,-'rotlnn ulruJ ),nnn Duodenojejunal -a ;lto7?s: .Jejunum-nt'n) lstnt rrf.,nn nni?-lf. r-rpn .Treitz ligament = Supensory muscle of duodenumnr)lTotntr:'c .on-TXr-Tn )u o';rln D''t'"lunt R. crus of diaphragm , Celiac trunk-n nx ngutJrn

:h,:b - Pancreas.
.nrn'nn9r o':ntv.l

,o':tl)n ?tly:

o'LlvJn ox-lPl9i'l 'Y'n .n'-llooi?x

)t:y nuth

)tnun ryt

-T-lt'i-)

DII-TXt-Ti-ln'.tlnXn

luLil l9-T)y nltn Xl;'ll ,il.n-1

Xl;'] oX-ti?lgn)ut tntp'n

.lln

clt,t

,'lxrY ,ux-l :oxrp:en'7)n

tb1

(ttsn6h t.$xlql lpetC)

C$iie kur* fbdssi!u.i
g6Elt
Lch

g:rrrq6a"1
{69p{6c) !.

Loper Irroitlc i,
Corrrrqn hqgrtic a" -

*- \\ Ya"l::,*^&

tra

Lr/t Oasric

r-

Coombib 6.ctBrratuodwt
--

+r.--'
-_
A, \ -v_ ormrtrtcr mtqq

iiH*
Rf.

l'94111sges466-g: 1

gnlrit-ofij+irl

tu**
,

AnitFg RoErhr otrcr4eticrducCsrl r. -

lrcaia gwrrrifo

q,.

onrtreaFdw)dilil t-

Pslldrr luFrrs

ldsdr parcrraie6

Flif,al

r+

-+irFllji

fr*ira

dwdHla{ rr:*dB ---1

Pregf;.rr8rtk

nrc*dr-:
imiaflleric I
'Adlgrid

fltF-m

Po!!atio. ptrlq.atticq dtde.d rlcqJo

rdiriq pencrcctlccdrqjrnd a
a.

u"rr"rno/ | hs16w

Paattitlr intrior ptEaijcodrEdqffit

F!G,V1.39 T?i+i.laaiet{t*E-duodedurnandpirErnlr;thaiu!$.kxrn{'filfricariccyharbotodirplacrtito:thOtatllfl6rdrftoyl+uilljr
thn aniarlor ard po.5lnclor lnfffior pentrdrtrlcadG)deml afidrl.r.

- Sulcus - Y''tn -T'-rgn Dl'1. ,oDlxr-rn )v-r c -n n-'lry )) nx ugrn ux-ln .L. & R. renal vs. ,R. renal a. ,l.V.C ,Aorta -a ?v ,L3 ,L2 nt,?tn ,l) ?y ilo))xl .ox-li7l9;'r nonL ry')nl yrlo xl;r Common bile duct n-rn;-r -ln,y -r'lt' ox'ti7l9;'l v/xr )ur ,-)t,'tuorgi't Uncinate -ir nx aunnr Sup. Mesenteric a. & v. "'y nor:n ux'rit )v., ttnnnn ,)xnun ttnn -n l) o) o'ynu (ux-]n )u 1r'?vn,?xnun p)nn lunir Rinu) -lxtyn )u 'tl,ruorcit ty')nf .process Uncinate -) )yn o'rrryr -lxry) rnnn xynlu yiTul l-r-T o'yy'n onu Drun Sup. Mesenteric a. & v. -n n-rYp ox'ri7l9;"1 -lxrY '-lnxn .'ynil ?u ,-rolrn) o'ol)l Dn rx y'-'lr lnferior duadenum -)r process clur "rxry )u 'rrru:xn D,l9i) nuu .Splenic v. -il oy Sup. Mesenteric v. -n nrl))r;-ln Portal vein .n,)urEr-li'l no-rtn )u; neyrr nrn xrnt ')ux'rc otxlrn,rgt i-ror)n ox-ly'l9i"l
nlrn xrn '"il,-ruor9 lil)n .1rl-'l
D're;r nosr l=ilx)
?u n')xnun nlrxn Dy rnrx 'ruri? Lesser omentum ))) l"l-Tlr Lienornal ligament -i-l lrtl ol)lr i-rtln ,9)) r;lyi?l-;-urg ox-ly'len llr Pancreatic -'-lizyil :nr-rn'v'ru./ ox'ril9).p?rpn ?v.r n')xnun il-lroi??9;-l Dy.yrnl xl xrn r,-r,-r9lx n'l9n i'lury xrn ux-l? y'2n xrnu) .a'lup nr-lt'y nr-TnxlirD nxyrr) rlTl. rn)'nn .Wirsung u"y duct .Vater )u n?,99:. on-TXr-Ti-l l9-T nx o,"lrrn D;') -Tn'lr Common bile duct -n oy -rnxnnr n-rnxr non -]uPl xynl Santorini u.r"y Accessory pancreatic duct':u'nn,ux-ti7rgi] 'rl,Jn '-)i7,yn lDvi-r oy

.)tnun ry y,in

Tl)n

.ox-]i7r9;1 sJX")r.

Irlnxn )u 1ro,:n orpn:

164

Fntiol
Eoo3irc r

vaitr-..-.-

L,lnrph n,tcsr

ilre/ $llt duIl -.-.-*luDrxduoourinl \ DilPr,/ .-**'\\_

'\\

\ \\\

:.i,

''t
I
'-:IF

-tt

_--tsnohx0ir!l i,.nnullil* ktl orilriq iitnry

r-

i"

r!Ji:,
"..t1 .'!

'l

llijirqrlr'lnrt r Iriry.
iirlclior llFuriur
\,

tuPJliltculdcr:nl irt(1

illllll

il+r.1itt -ort

ltlrrlfil

ldclit)liitl trt4ry
tr{rirrirr inlrridr

hliii*cd!6:jqfi

i.i{

rril r y

hlirklta rptls

!rhnf
Rilirt irrllic i rl:!r'a

[ild,t{tn l$!tr:!lll r{in

rnd
n

rl{rf *
Antnrior viatt

il
lxirly\ais .rlrl lti.itg pcrrriitlv, .ttF:rl,rtt-,i, rrrtl to tJrc dgrt. Nttc hut lhF lr\l! .rl lfE pilrxru: ir rurhttl urlcr-iL{lr '^ lrrs il (rua[-J lllr' !cniblU!
;,:lonrn.

+\l:lrrlric f iex
;1.f

ii:ldbrlru:r, Oh){ivu lirill lhi ttalrxr{fi|'tt 4qll1llr4sl llE hsld .tl'the 'iirrl ,isincmr nn* tl'dt itr .rirfxririr ,rr ilnrl ({F[*rr![ il {'vd:.ldf Fiir5 lbe

sii itirldlllt'i (d l|P riltr*dilciti- ilcftf*s,

Left gastric artsry aftd v Pancreetic {n*qn.a artr}t

Hu,palic arlery

Portaf v'ein

Splrnic'Join and irtery

le docl

lnlorlor mssontsric S$tet'i0r

v,sin

!'ue$ef !er.ric a{1ery and v+i'rl Gommon' stcm oi posteriot

inforior and anterior inlsrior parrcrealicotl uodeil gl arterle s Lymph noda

{5.

Po,s.tcrirrr yig11r

i5 tlg5u-:endirrg

ef a dirse.:tion cf thc duc},:lcnum, prrncn:ir$,. irnd L.ile duqt. C)ilscn'c thrr rhc trik: tlucl in a lonq f:-rssurc (opcncd hcrc.) in thc Fostcli(I patl oli lile. he'.rd of'e.he pirncrclrs.

Dorsal -;-t lln tx or:rrxrrn )u ,)nrrn 'r'pir lrnn nnryv./ ')r"ilI lv'tn nngnn ox-li7l9;') .Ventral -;-l ltn ?x nlnn -lly )u ,l,u'n,-r9n lr,ln lrnn nnryv.l '1"lult lY'lnt mesogastruim ,)"lull;l ly,li"l ltlnon n'-'tllyi"l ;-l9ti7nf ll'to'-rni-lt ;'tl'i?i-t )u ltl'onn i-lxvln)mesogastruim D,ly,ln 'ts/ .Sup. mesenteric a. & v. -;r '"unxn )x orp'n) (Uncinate proces- tlnn nngn' I'nvnlu) ,ux-tn 'uxly'l9il tuyn -r.ltnir ?vxu -1: o'lnxnn Dn'nt-'lrty o.tl '-rtnxn llrn lg-Tt D'Pf-Tll o'nxnn n'-1xui'l .')ru:rn ly,lil 'lly )v.r ')n,o7rrsn plnnDr ')r"rl-Tn ly'li't -tltY lu '?uo'rn iTtnnn 'lll

:ox-'rtl9@

165

Accessory -n

nt,i) n:grn x'it r.)txulx,n t'ux:t nn)y:

Fighr hepaiic duct

f,,-rl.

,)rlln

lY,tn -illy

)u n')n,oy'rtgil
.t)l]Dn duct

Lett hspstic drrcr

.-

COrnrnon lreparrc duCt

UtCommon.bile
C

duct
pa

Ouodenum-suprior sll bladdon

neck

rl

body fUndus

fuorus ol siomach

nccessory pencreatic
ducl. DucdenurrF dScend;ng

l- \ Parrtcreas; \'boOy \ '\

rart

parl
Gre:!lor duodenei Aapila Longitqdinal duodeaal

uncrtale process

head pancre.atic notch

Duodenum-lnlerior parl ar lolds

lolc

creAtic ducts.

fh.e duodenum and,pancras; lhe blliary and

pan.

S 1/et
!vpt,; J'xrttau{'o*

,r

0(c)

tlJdi\r/uq)ai)

'FJtti
'Gc.,vr

,6k-r

1Jl f t,)

'Gr<:lJr ['] )

C '{'rc
C?'l116oa

bile '(k\

duct 'frrtr ,6t. pg 13.1 lr*P'r

f\9'
11... pqr,r.fa.dd

+ \(ae'
dud$5l..1.n-i)
coa.'r^o^

bitc du.t

-a'...^ti

d',.t

(-

Wrisu*p

U"rcinatr- trocr.Es

Fiti?iTlT F j:e;h. 2/3 -r.orx),xn 1,:? ollr',n l,r. -rn

-i,l erjg$p}rlllt_.eilln

)r:t I'x.ot'-rolr)3i-t,"y'trnxil lotn l9-Tn o,'r)l .'n 6-8 n:rx ;t')vn')xnun Jlt"ll o,nlln D,i7-Tn o"jJn;'l 1/3 .or':nrx;-t rr1) lnl1 D'ltu/n ont Dt)t,,o,:un: o,:t')y n)ry xrn ournr l)xt n:rn,)uo'rn 1/3 -n r?xr lurn )?n lrynxf. nltn'irynxi-t'l/3-n. 1u:n ))n )v .Cecum-n ,)x,rnn -r'y': D,'nont R. iliac a. & v.-n nx ,'ln,;-l Psoas -n "l'tvJ nx ,-lytnt
lr-rnxn

-)0nf.,r?nn n"o

5 )u lrrxr ylvx

n-'tryt i?u) ,-lf,ryn ':')u,rn tr:y;t

.

)u l'-lu D,xyln 1-2"k i.

n'nyc) .,ur-rl'9 09 ,"y lurn 1sr) rrrua -rrrxL -'lrui? o,nycllugn xrn o,nyg) .or,),xn lnt-'l) nn-'t

Meckel's diverliculurn-l o"ynn lv.r

-:

oi'l'rur l'l.r o"):,rru'r:r)r D,'-r)rp'-'t,y

o,nyy: oir ,rr,-)o,-'rnn )u Jrrnxn 1/3-: o,n,,pu.r n)x) o,,:unnt'il.t

tl;llii#t;i":tiiiiliilYl
. o',lytr;'t o,orop)sn

- n)tl: l,-r'-ru;'lL)u nlu'D'i7-rn D,,yDn,7)n'ru:..llium

.5i.:iirl! lli.t l.$rJEl,rixll

.i*ri

'ttt, {!irr

it6$$r}!8. mi$ltiil

i4 1i:;! l: uul r rit

11 5

rrl $ ililirl
i

l""tl

ulrr4! d I

Dil't r.ltbil

= Colon

,Transverse colon ,Ascending colon ,Vermiiorm appendix ,Cecum :t'p?n .'n 1.5 -: r:rx n?'nnnn nuy' D'ryr o)n'ynn'pln ):.Anal canal ,Rectum,Sigmoid coion,Descending colon .1orn ??n )v-i ?xnu.r ryr n-T'r,r D,i7-rr o"ynir ,rl)n rx )yn n)ry R. iliac fossa -: l,n' lyl

I tin 5ir.l rf.g F,lE-

=llilidti Frlni'
Fir:r e r
_1

ii:1.-:

El:,r,li:':ij lrr

;: ri

1/6.r n:rx .Teniae coli D'x-ly'li"l D,o93 -l rr'):'rru'r:r)n n'-l'"lurn nf.lu;r n'rrlon o)il,ynl l'lx ))) .Haustra coli nrx-ri?ln o,o9n l'r nlrn,el nr'lu 3 '"lyt' on l) ,-T' ,yr rnyy Colon -n l'lrxn . orop'r) url p)r7n lrrx ):) nrxynl ln .Epiploic appendages=lDrvJ rlurur) nlr?n n'run
R. iliac -;'l -lrnr - (Colon -ilr lleum- n l,l) ')i?ylx)'xn -ril.nl orpn) nnnn Di?rnnir rry o'):Cecum ')sp: r)o clroy xrn ))r 1rr: .Ascending colon- ;r nrir? lcrnr ;r?yn 'e)) nngr xrn lossa r:u,,)7xrx)xn -ttr.,nn orpnr.lliocecal folds rrnnDr Retrocecal folds rrrnxn D,-t\r,cJ Dlxl[']''t9

.'n,nx

-1u11,90

lI,x

;'lr .or7xn ?ln 1rn: orxl'xn ;rvp ?l97n -tYlln DlJrou

-) )"-rf) n"o2-2O rf"rx

.ori?vn

lrrtn ')i?Jrx)'xn -rl.,n) nnrn n"o 3 -: 'r?n :Vermiform appendix .lnf. ileocecal fold-r 'r:n o,nyc) .(n"o 8
.nn)vl

l,)rx

D'"1,-'tu

rr:c; )y:

.'?xlrn,-r9nu-'l tnti?,n .;r)rpn )u 'tniil Flexura= 1r9)n lyt Dli?yn ln 1un: :Ascendinq colon .(HepatiC fleXure)= n.rnn o')) n')ru) .ll)n )u n'ln';-l nllXn Dv vrnl. ;'lxl n'lD'n nrtop)cn

?u

.)tnu? )tnn n'?xnun nrrop?o) lyr n'ugnll n-lo)g;rn ,)xnu ry) I'n, Tyn lurn: :Transverse colon rrt'n p)nnr oxrp:9;r nx ;rvrnn ri? lrrx) Transverse mesocolon -n ,"y -lf.lnn xtn n''l'-'luot9 t)u,lt'to:xn o':sn nuuJ).i'rlpn )u n)rul n'nrnpv) tntx'ltnn Gastrocolic lig. -n.p,ro,rnn -;'l ,"y ,ynn pilnn n')xnu;r nrroiz)s: .t'nnrn ,r)n xrnr Omental apron-n "lttnn . cyrn 1c*Phrenicocolic lig.
,p?n

rxun -ly r-'rui7 .tp)nr tx t): ,)xln,rsr'ru'r .lol;r

??n ?u ')xnsJ;"r -Tyf

r'lt, :Descendinq colon

.

p?rpn

)rn.1rrn
)t>r xtnt

)u

yynxi-r

rpl D"non.lhrprrn r) vJ'r ')xln'-19-1ulx ''ll.x.s rrry )>r:Siqmoid

-t ')rurn'rgro:LT-l:lt.'lT

colon

'xr

rnriT'n 'Rectum

.il1-"-'irf;ll:l"X;r""t:rl#lil

169

@
nuu r) u' .r)gy-ron ;,:? n:'1 -T,ren .i-n'pr ?u p'?vn p)n) n'rlruorg nlln .)l:o yry )ylncn,) rrx n,t,uyn !)vn .nrrx)g;lr i-rD)"I9x'-In 'r, )y nr')xnun 9-1'1 nry)yn r-l9rn ,-lni7 'unr-lgx'-T D,l9 .Drxlrl''tgl .pul r): .n"o 7 -> r:nrl n"o 12 -f n'rx .lnun )u l'rxn -r'y lrrx) ln:rn rrnxn Phrenicolienal "'y ngylo?r Gastrolienal lig. '''v n:'p) rrup 1:?rDorsal mesogastrium -r nnern .pnnnn rplnr Lienorenal lig. "'v n,)>)r ;r')vn rp?n: lig.
thlsnfti {tclnd u!r,!dj
Callc llu.*

g6.ch tupiia
Prcrer
iiL

Abdornirqt. Fsrcrcoilc

Dq.'d

L.]t gA(ric

a,\

spibrica

hiOilic a

Cqr,'w-\

Ccrrtpn 5x1 4o1

Bttrodld{l#:l

ri.-,J

,, 66ttcdltnl.jrLtit,r * tlliltil iit-- .-fl----1r!!ir

r#

Bl. Qa{rFol..r,{r1al

'\

L-meoa

A poncronlicl

Arrffi,
.
I

AnoEiis sparb. ptrrclArii4od,.ECmnl t. "

Pq[tnri4r JUC+da{

lriisitail{ic.asnc r,

g.turoqt <jucdtrti a

iii

! iii t!t!!tt . !! l.tI| t'.: Anlpriy oaffiealicq.

UPp{ ir;uod

.Na

iffi|ra("+

dtsJiiirl lr*'ci

Prrrrcrurlt ,srcrdt$igiY ,ptPrle{C.t, I

Val+

ldlsrrq ided pscraitEctrsdtrEl

N.

a.

lElt Dnlnq

P6lffbr iolfioi Prftr.aik!.JlrCril

FlO,VI.39 T?i,*i.tdii6aatltsdr.lodanumrFdprilcruir;$rntrrp.(lotmc+&fii.aid:dri.ryhiirbndliplacddlolhalelthordrlovj3lillr
lha aniarlot and po5mrlor lnl*rior penc/6{tjcodiJod.mi a{trlcs.

)u n,?xnua nrro)pon ,"! '1nn: xrnr nry)vn nuiTl nnnn ?rnun nx vun) ;n,: x) )?: lrrr clrn: vnu.)DuJ Phrenicocolic lig. -n i?-'t 'nlpir lul.n l9-T l-rr ruun) 1n,1. lur xr;-r t')uu "'vt -Hilum -ryu xynt our l,)xl'nttulx ;-119 )rnun )u 'hvo'ln o':gn nuu .n";tltng o'L\nl. )utn xtn . lrnun )u orn '?) D,xYt't D'ol)t ttu
-r{rx)
1r)r7n

Po*ter:inr rnd
(rnecllel enC)

-"

Shor
Left

gastrir.l 5leq,sgls
rr..r-o rir u n,tal

Gs$Ir{i6,plenjt

East

ieplplnici

,ress,els

ligamenl tra n s..il ittin

Superi,cr

(no{t lied) b0rdEr

"\p,l'ennrenal 116aotent cDrl't,aif}{fl q

Splnnic v"'sselsl
Tarl .Jf prncreAsl

lni'erior bor"clsr

't\nt

rlo

end or b,crdrr

Viirercl suriirce ef ti:lc r1:li;en, I'fu,rle lhr r:htnlctcii5c!.- nt'rtche6 ir1 its slrlti:ti*r butjsr" O,bscrl'e thar rhis r::rtllveric ipl--ert his irnpressions o[ thc strucnrrcs dr-rr r,,.,ere in cr:nlitst u'ith ir.

:*l
,('u'nn ')rrorTlu:x nrrrn) :)n
ri?) )xnvn n"o

or,)rlr.:ner n,yp,9,optu-rl -T'it9n )y: .r,nnn llrxr ;rrnn )ll nx -ty,,n .clltlvJ tnt,t n)rrtn nor?:n .ngy"lon )u n,rn,n nrlny';r ?: nx xlnnr 1u:n ?1n lur ,:n'n p'?vn v:t: rnriT,n .o'r-r o,tnn ?v.r )u Apex-) nnrn ry llrnnn xr;r )xnu -Tyl .,rn'n Mammary line-i-r rpl nu,nn ylv ;r:n) -TJr y,)n

(Hs,p,,+f$ ki;v..n

8 -: llyl
o,,)rv.l

.yYnxn

Comrnon hepa,tic dust

Lefl.

braflch ponal vcin

lelt heDa{ic a.

&

Rrght hspalic a

,nun i'llr9n ,hvo't o,rc nuut D,lgi-l nou/f .?xnu)t n-'lrnx iTrny ylv llvj' '-'rl,-'lool9;'l .lnf. vena -i-l rx lo)xni-l
Hepatic -n nlrcynon nr"rlrn
;'rx'Y'i) ori?nr Portal vein -r as.

o,,:ro:)x

tl:)

\'
\

Cystic s. & v,

,l-tvo,t;t o'l9n nuuJ r)-lnlcava|]Cr Porla = -rl)i-l -]JJU Xynl

.Lesser omentum-il nr9'uy tnt-t9n rltg,uyn,tyv/n,?ru-l: .-Ttfn nx rrguryr nrllgt nt,)xl D "-] r"t uot9n o,')runn y,'.1n pU/r fyU) ry O"-.lt'"l9lX

.Hepatic bile ducts -;r ?u.r 1,r n:) D'y,)n n)x D,lr.ni-)

btadderl
eroner

uail

heplic

a.

-i-r nx lolxn;l i?rnv - Ligamentum venosum

\splanlc

a,

Ductus )u; pnnn -I'"rvJ;-l 1'yonn lc./nnnnvenosus lx Portal vein -n )cr'?xnun lr-'ri7 -TXn Left hepatic vein-n - .lnf. vena ) nrrp,r orpn? nucJt. lo)xn 10l] yy'u cava -n .n-lnn o') nx ,)rvo'rn o'rc;l o,-.1yt' 0'y'-tnnr n,l7un ,Porta D'rgn n ovJr. H n rxn rt rY H-n )cJ n,ln,n ?1n .,?rvo'rn nrvr: H-n )u n,)xnun ):rn .r::n

Superior part of duodsnum

Gs.sirodirodsnat

a,

Ths excretory apparattjs of the ilver. rhe gall bladder

end. bile ducts; the propr hepaiic artery.

y,rn) nrnn o,) l'l

n':n'n n:txn. a:'n')t lnf. vena cava-;-rt n"rnn o'f -;'t -luxt ornll orulD)'i)t oru otu:n:')n "'y -it ntu, orrr:l nrr::nl')i-l y'-rnr n'lxr7n norgn l'lr Quadrate lobe -n 'ryn o-ru otuln)')a Caudate nlrxi-t i-llu, o,,)xnu;'r o'v'1nn )xnu) .Caudate proces x-')pln I'n' ;tt:) ':unn o)-t tt,l' n)ulobe )u p)n orr Quadrate -n Dl n'?x o':'nun -r:xr ?u n':r)ruo;t i-ll'ntrDv; r:>n )u n')xnu.r;t
?c/

.-rv./pnn riTn

nx n:r: Porta

.Caudate-

p
t

Irltgrtcv j.tl .L'

ut'
1dt

Jt+

crxdrt*

n,

A,itl {et,.

h'1,* tlr';l

A
Tf.)i'r 1u nlxlln,-r9i'l '19i7
Falciform

lig. nrn) llrn

,'n-Ti7it 1u:n

lsrr)

r:rnnt nln;r n?yn 'g): "ltlun In lvlnnnu 'nl)u

.R.

& -;-l

ney-roil oy

n)n )u ,rnx :rrrx xrn irr.-n'Coronary

1: nx xtn xt;'t Falciform lig.-n rvr Lig. teres )u vpunn -r::) .,)ux'-r9 otxrn'-r9 nt'n) lt:glnt ttl.)un nlllg n9!-lo;-1 Bv y)nn Dly'nl r)ui o,)ru?n nilyflr Coronary lig. -n rvt: nn)-l9x'-I;"1 ojl vJ)9Dn DliTnl
r-T

nx -ruly'u Ventral mesogastrium-i-l l'-l'u .Ligamentum teres 'lvn o"uglnill D'llnnri"l l')lulu
-Tl.)n Brxlrn'-'le

)lp

. ngv-ton

lig.

-i

tilI*"J::-"lr_ri1t]3:n{il"

Bare -n .ngyloi-ln rl)ir nx o'pnln 'ruxf ny'tp os nuyn) x)x u:nt') t::'x Coronary lig. -n ntgOynn npUnIn -It)n 'tyul'. r::) ;U:n lpn O'nln'r nlrn) n9-llI DIiTn nli-lnarea Lesser -n nrguyn? nt,)uni'r l;t oclr "ryu:' o'xvt'r n'ot)ru o'?)it 't9 )y r::n lv.l nr')xrtn'rcn .hepatic a. , common bile duct n ou Hepatoduodenal lig.- -n xvn: t'?tcrluomentum

_1:;

,Portal vein-

r,)nn:lnQuadratelobe-n.i.}]'i?nn1Yl'ulyi7vJl]P/,n,}xnU;.1irr|N]@

p)nn xvn: i'lJ-19iu ntnn o'f 1'n,? .nrnn O,) -T') ll'-lo'-lnn lur ltuxr;r 7)nn .nlpn )u otrt)'gn yi?u nvJ' r::n )u ,tn,n ;t!i?l .rtln'il ;r'):n nryt'u.l hu upu.l llu./' n'ln'n nllxl .llr"lo'-lnn )un rtt'n .gr)rpn ?u n'ln'n n-rloi?)gn nrYI'tY -lttv'tvll -rl);"1 'lvv.,l Common hepatic duct nrrnxniln Common bile duct = clnrqJnil n"lnn o')n n-lnn nx x'l.nu/ - Cystic duct -n ov (rnvu n:nn Hepatic ducts n-'lnn nt'rllv ?: nx r:rnn)
llni'l

I /S

lnl.rbr lant cnvt

I

Middl. h6lttq ha

RigFt

heoalb!'in

_*.-----\ Lcf '- Uger+ntum 'n31d /

ncca:ic varn -/

':"--)::r &;/
/' ---'r'ilinc'|ra -/tl 1:-l
-ll!Aqfr.J:a{

mrc'iri r<en-rniti b'{,!ch!a

Rlght hEFitic ducl & rrirry

Flo.

vi-at csnpollr drr*ing

, ?t:ya

vldn trllFptcd), (Ay

pt rnlsilon ol 5t{9.,6y4,. { O!r;l

ildtllrdng rh. |iEurlpltlrrn ot bnmlriol ol

lha

uh

drjct (whltr). rhr h.pluc

firty

tbi&kf, ind lhr pciri

-l nly'nu

Common hepatic a. -a

)u tt'teynoil l;-tu Hepatic as. ,'y x,;'l tnyy r:>) orn nagox nl-lylrtx )'xn )r:yn n)-.lvn ?tn ,-r'rr o'r rr:) x,:n Portal vein -n .Celiac trunk
lnf.rbr hnq cq?F

Coiqqy lioFst
FigFi h.Ft
FlgEl trrngd!.

v*

--r

ci6:r rdd

ErarcFe3 ic

--

adlal

!aglst:,

E,1

(guN{

lo ouocrsto

bM

ol OSdodcor

)): "l-trf o'nr9l .o,tn-I

Th. inrrlr.prlic dirtrlbuii.oo ol the pof., and h.fEilc yoinf. (By 9'o.m;tsi<h ot Serg., Cyfi-, t

ODr.)

D'-tyi7 D'-r'-rl

n)x

.o,,rp,:r Hepailc veins

lnf.vena cava-

3 :r:;a )v

'-T'-In flt'ln D'ntnou xlrr n,)xt-T'1,-Tl'x

174

.l.V.C -) rrs:: o,r-lnu ,nlrvrn o-rgonu D'ruy' Hepatic veins n:u'

Rlohl hepatlq v lnlerlor vena cava Caudale lobe v. r lliddle hPalic v'

,c1orr:

:\-. .13 r \-:'

Lott h.Palic

Medlrl sagment

Lrtetal

t
Ttrr prrvf

f,lghl

loba

Letl lobg
ln

,!h. lllDq ptttnf n ol

h"pr& vtht

tlE humln. fdt- (courl.tt

o{ J. . lksle y! Jt

J' E1t'Nti
"'

Cod' SUq' 221541'

"lyul nr'-luP) nrplrrn ni?ln!il n)-ryni-l .ny'rnv n9n,) n)-'lynr n,novj ngn,) n)-lyn :'n9n'? rt7'l R. middle phrenic ) nrp:nnr neylor ,)xrpn nneil l-tl n-r].rir ni?)nr.r Hepatic nodes -Tlln . rgy]on '19 )y nlnltnunodes')-tyo'tnt ltnnnn D'tgi-l nour nrn:. n9n'? rr,1uy') il,lun n,:on nou nx nry'ln n'nuun nf-tynn nl-lt-t.t) -t:'yn 'l'l'T nniln oy'1ru) -Tlfn l,f ,n9n'ln -'lu,li?ir .-Tl)n 'ryul nl'o9;tn nt'-luJy') riTlnn
. rraslernal
node

qf)3) G 3')l 311'l

r

-Tl);'llllx'1n l'l nl'lu-lo

lnf

/t a.

._L

,.phrenic ii"

r
t

{;'

ltil

175

;'Trh;'t
nrnn rto)rxn
;-r-rnir
.

D!)

= Gall bladder

o,fl.

o,:n )c./ nrlynn rnyi?. i7"no 35 -> r?rr,7 .n"o 2 r:.nrr n,'o7-10 rtrxu o)x n-'lty )yr nrnn o,: luf n l9-Tl yrl Fundus nyi?) uignn orpnL ,n-ry'n ffight hepatic ducl ri?i-l )v ( 9 '?uorp orno Len hepatic ducr . nry)vn nuplr:r)'non

)n:n rptr

n-'ln;-l trryn nnr)u: o'nrgnn Cystic duct r)u rr7':n 'luyt n'tDn o,l D,n nr,90 or ;r)n nlni'r o')1 .)r:yn )g rr'l'ui?x :rtrg l,fu D,nt-tnl

! lv.rnnna rxryFundus o'ren nou:.Cystic duct)ci? nu' "lxrYn ?u 'n,:cn

)yr ')rx .Spiral
l,r.ruYi-r ))n 1w Patency ,llx ntl?J,nn nrrTrnn ,?s7
Cvstic duct-n rrrrnxna oy "lYn ,Hepatic bile duct-n oy t:rxu Common bile duct -n

,Body,:nrnl o,:,p)n

(-:il bladden 7

cqir"rnon lleFarrc duct fnon UIe d:ucr Dvodenqrn-.suFriof parl

= rlrn'It9n n-t,DUt

fold = ')r,eo
ntl,uJn

neck-J

Pylorus of stornah

body fundus

Patcreatic ducl

. n"o 4 -) -rtYn l-'lrx.

n-rn;-l Access0ry

oancrealii
duc( DltQcenum. descdnding

Vater q./"y nl,csr lr'-'lo'-rrn -'lllYilD l-l9ll xtiluj)

xrnHepatoduodenal lig. ,Hepatic a. -n 1,n') n:rn .Portal vein-) n,trrurx -l'i? nx -'l-Ttn xtn ?): lr:
.(80%

-i-l ')tu.n .n,,o 8

-r

pan

head paoc.reatic nolch

bcdy

Pancre;:s: /
tail'

-urlciria:tb

FTOCESS

Greater duoddnal
papi:la Ouod'enrirn'-lnf
er,

ior pati

Lonoi!udlnai
drjodenia.l
'lord'

-:) '0x-'rpre;-l nrnovJ' t) u, n),gcn -Trnr nnn'rrn 9,,y -l)rou Odi u"v .Ampula=trlvn nxp )v-r ,)un) 1:x ,"y nnsn nn,ro

loldi

The duodanurn and'pancreas; the btli,ary and pa0. creat:ic ducts.

.

ntny rn'-'l:r r'-T'tlir n:ryn)

i-l-'ln

no,t)) ol-ur

cpatr

J'rtts

+, cl, slr ( ,J dr+.t

ca4*ryqo,h

h*ptr L J't**

(clok/"r* s )
i\ \/{\

co4n,rio"n bit<-

4n"f

-..\t\5}

p*?,91;I+

l,il?',r'qn$

'ynn niTtYn)

)y D,i?9lonn o'-ttxn Jtxt o'xf.;"r o-Tn ')) l)nn )rx -'l')n) ul-Iluon )v Dxnnl )oyn n:ryn nx D'i79on n')t'nttf,xn nullxxn ?u B'ttuxt grr)1vgr1 o'9'yo 3 :n'tf lyi-l
. o-T,

Fore gut Mid gut Hind Sut

<<<-Left gastric

Celiac trunk SuP. mesenteric a. lnf. mesenteric a.

.ox-rj7l9 ,otl-TXt-T ,)tnu ,nrn o'f I -Il) ,nl'i? :y'gon Celiac trunk

:i]'9'yo

Cardioesophageal
R. & l. hepatic R. gastric a'

br'

{--

a'

'1

as. < <-- a.

Comrnom hepatic

a'

'2

a) b) c) d)

:n'9'You,Gastroduodenal

SuPraduodenal a. Post. sup. pancreaticoduodenal a. Ant. sup. pancreaticoduodenal a.

R. gastroePiPloic a. Pancreatic br. L. gastroePiPloic Short gastric as. SPlenic

{a. <.
i?-Tn'yn;"I

a'

'3

SPlenii

brs.

Asc. Colon,,outtxtl;'l

)u,tt,lgtoa 7)n) uro

?: nx nTlon:SuO. mesent9ric

a.

: n'9'yo

a) b) c) d) e)

Common inf. pancreaticoduodenal" lntestinal as.

lliocoloic R. colic.

# -f

?i

a.

SuP. br. lnf. br.

a. a.
)u

Middle colic

.Arteriae

D,"lu, o'prrv

-----------) L' br' nrnr)'J ninnr Marginal a. nrrvt'n Arcades = rlr{ri? o'-'lvl' D'9'von
:lnf- ileocolic

--+ -------+ ----> ------*

SuP. br. lnf. br. R. br.

)f

rectae
tgrYo

a.

a) b) c) d)

Colic a. Cecal a.

Appendicular a.

lleala.

Sup. mesenteric

a.

-;'t ov

ntrlnluolx nllnll

t-Etll
nLu.dgR,Jff+

eoli'l tlc:*qr'+
L

Fiqhf ,Fjalic s& n+dss

Fi'F,,,,,,,$dl*

TrArt*$,ren5 'ilUlEsl

frfigf enfl{n[] 'etlan"

Tgrri,s ec{i ,& t-rcld*s

fiigfrt cc*ic
Jisrure :
F,*St*r"*rJirlg

r*[rie

,a=

S[,e*ria.cFl.

cDldn

'F.nFlcrs

llliirrii60.{ pflFtC,r,B,tl[::fl

udurEl+derEAl

lrfrr*g
d'tl':i"A

Se curn

Anr. nucai A- & cqa&1 fisdqe

AppeE*ie'',Jler ,F. fi nFSc
Ith:tacnlilt g- ,$ rr**reg
I

tu{esenE*ri*
n$i:leG

Siec{rftdftl.:l ffi'::l.itits
F'*im*r'1'

StrF*rinr mr;sg-{t[Bllc a. ,& l]rfclL'"s

lnt s,slln,:r'i h'rnn e;h e$

Afilh

'liG.'Vl--53, Thru braflch! afld diisLri,nuilCI.n n! tF'tg sr1pfirtiil,r n1{rl,ftlgrig Fi't,ry; thc rna;se,ftinric l,y,r-n;t;h fl,edFE,

:n'9'vo .D'otir D"ynn ):t Trans. colon

d.)

)u ')uo'r 1/3 :n;zcon lnf mesenteric

a.

b) c)

L. colic a. Sigmoid as.

Sup. rectal (sup. hemorrhoidal a.) .lnternal iliac a. -n )u.1'vo x'nv; Middle rectal a. -n ov nlrlnloolx

nlrll

L,rJt

r;lm llngllrA

TuelElisr*,$ 'Ffiknl
*"r{ill.dlE'ndli'c,it. ElEd n,sdg,s.

l.:'i;] J-r.l- ;= *, -,,' Ji;'--: it,lJili tr : r'..; I .!{i' Il;ifu r'ic:rriili:;.-js

'*tl;,r+-i;tffi

##;
lD',f,Ud'gsr,{fltn

.&ruiiE

hdkri*-r*frdjtl#i1i{*i:ifl
Ei,r.d gacodgs

.a)

&lprr-xwrr

f.,s,

rtajl

4,,

Sg,nnid ss.
:s.,;lrslsldr Eul{rfi

FHi,r:s-[t

Flfi- V!"SS th,r, lRf*.rl+.r nr:ff;sen1eti* eFtgr): fliidl fir,E lnfisrisr

Ftx[{*rt+c

Ft'l-+,s,=

rygllginn c'f ilylrnpfr fi#dF5*

179

)t:y;r l>ryzr btu ttt'tt Tti::

nt:u-ru;r n>lyn;r

vein = ryua -r'rr flXo)rP]nc|ol]f.I,t,)]x;.'tn)ynn)U]nt',]llnnnnp)n?url)r:ynffixn . r::n )x tnrx x,tnr i'l-rnn o'fr oxr:pcn ,?tnon nrr)'op ,tD-T D-r 'i) D;-rsr o'-T'xlon'o -Tf)n nny'rl -lvrr nrugnn nrrurx) ?'lpntr lynon xt;'l 'Tt)f .n t')x'r orxn n tr),o7)t -.ltrui-.1 -T'-.t I nrr gynon) o'9n tun n lnf. -n .Splenic v. -n ou Sup. mesenteric v., -n lrr>)nn "'y ox-riTlen 'rxrv '-lnxn "lYtl
(Vena porta=) Portal nlry .onrr:)nn'le! (40%) Sup. mesenteric v.-) tx (60%) Splenic.v. -) nor)lmesenteric v. ornr')l rno,r) 'lsl .Hepatoduodenal lig. -n ?u o")tu.r: ,ot:rtxtrit lv.r ltuxtn p?nn 'rnxn ;to:)x: 1'von ?x rplnD -Tr.f;r uu:.Sup. pancreaticoduodenal v.,R. & l. gastric a t:tn) o'ry'lnn
.Paraumbilical v. -n -lyun'T'"lr )cJ')xnuln

l,x n'-T,-ln n,)u-lgn n)tynl o,gnrunn o'r,rtn )r) :Collateral circulation of portal vein )u o-rn nn'1r rnont 'tux) .D'nlnou (cirrhosis =nnnu) rl: n?nnn nxvrn) rl)L -tvv/n yn) rr,)yn nxvln) lrgn pr)l 'l'11-r D-Tn or-tr' ,n:l )t-r'.r tx nrryn) rf'rl nx ucn,r ')utrg or :ntxtn nntugxn nlyynxl itllrnnn tx ;1]r')yn n')xtpn n'-T'-'lti)
o,,)xrgrrx o'g'yo

l'l')x:grrxn oroT)or nr't'-r nrnnluorx nryvnxl :Azygus-n n)-lyn ou ru,tp.1 = nr'!-T nnvn l)n nxvrnr.Azygus v. -) o'rp:nnn o")xrstrx o'g'yoi L.gastric v.-n )cJ
.nr,suu?otl.r)tyvtcnn)nt)r)yuuuln)uJlI]']9il|9-I].
.Azygus- n nf-ryn )cr o"?xlgrrx o,r'-u) Short gastric vs.

t'llyynxl Splenic vein -n

1': ruiz .2

n)unn x,nu) Sup. rectal v .-n ;,: n,)rxn n)vnn lonu ,)upllrr orop?o: o,,r'rr o'rup .3 ? nrprnnn ,lnternal iliac v. -) o,rp:nnn Mid & inf. rectal vs. -n l,r) (lnf. mesenteric v. lu lu'n = n,llxn n)ynn n''l''r-t nt,)r nt,y') orrr ')uprn orop)c: or urtt.lnf. vena cava.Hemorrhoidal varices

o')p'),trnrxtx9 o'-T'"'u 1'r? Sup. vena cava- ) o'rp:nna iut;r l9-r )u o,'nuu o,-T'-'rt l't rv.lp .4 . -lrlo;t rlrx) :,:on Caput medusa l-l,y' x'il ilxvrnn .,)u-rrg;"r orn yn) n,?yn nxvtnt o'nn9tu
o,-T,rr

n,?r) l,f.onu lnlul

l,rl

,lleococlic

,R. colic v. ,Mid. & l. colic V. ;1p) arr)H1|nrtg O,-T'-]t l,l -rv/y' .5 o'xvnl;r o'lui7 o'1,''lr oyr (Ovarian v. rx) Testicular v.:rn: o,)rurn'19lru-l .lnf. vena cava - 1 ounr (Retzuis u"v)

v.

180

Tlr/+Ii b,u. "lt a,lil]ii]Njll

:D'n1rr
'l,rJ

ltf lltian

loln )u n'nr:rurxn n)"tynit ?u 'ougn'on :l:rn)

nygron

)u

crura-;'l

'l"lt o'"llrnvl o")plru

T5-T9

: ont .r) o'f,,1-li7v./ o,sor: o'?ru)rp

o':r')l:.ll o: )rx

D'uln)oD oxyrnu ,o',lprro o',ll:?to o'fyy .x ,Celiac ganglion-: -ti7yt ntogl'ot D'n"nonl

T10-T1'1

T12

Greater splanchnic n. Lesser splanchnic n. Least splanchnic n.

o,lr,)r:r,ru n)x .Celiac ganglions-n )u.r,)ru)n )r:.rn )y o'rnon:Greater splanchnic n. nut .''y o;'l'l'l D,-lruy' onr n"o 2 -r rn' o'luiz .no-'lxxn 1n Celiac trunk-ir nx'y, nl-ti?t D,niTrnnn
ai'r ontyynxf.r Celiac trunk

-nn o,)vgnnn o,y'"ryn )>'1rrx) o'9!inon o,l,on Du,lnt o,l,o ?vJ ;t)no .nrn o') ,onlrxr-T ,;rr'7 ,)rno ,ox'ty't9 ,-l:'t? o,y,rn

n?u nt)ycnn;-) orpnl o,llrv.rn

o,r,h:.r
1n

.Aorticorenal ganglion-: o,'non :Lesder solanchnic n. .norrxxnnRenal a. -

.,):rn oroT)on

7)n o'rirnn Renal ganglia -l

o,'ron

:Least splanchnic n.

-f

D'l)-rxrnv; o,t,o D'lrr Inrrtxt n:rnn'l:nt)i-r'uugn'on izl'tunn D'xtn D"uu9n'o o't'o.f Gray rami o-'lrn o:r arn '):) f.'f.onu o,orop)cr D'D"nonn Lumbar splanchnic neryes . o,,r:nr)a o,'):'gon o':yy? o'9-'luyn;t communicantes xrn I'n' rvr .,)7rrun ,uu9n'on pl-'lrJ;-l -'luxn ')rort tnl orp,nl. xyn: ,rrnr)a 'uu9D'o;'l i?l'rui-r lrtx) ntrrtoni'l nl''lLnl? n9D') nl'-tu./y''-T')!t ilol)n xtn )xnu rvrt l.V.C. -n'ltnxn DiTlnn .n ol lxxil ;tlnxa'lrnt)n p,h:rn .2-6 orcon .D'nrxn ,r:nt?n 'uo9n'on iz:run )u o,trh:t rcon )):1rr: .,)rpon r7)n) ,uuen'oir i7l-ron lv/nt I'nnnn ,L5 ,r,v) ?): 1rn xxn: i?l-rul D"ou9nr9 9,11r)132u/ ,1;t ,L2 nnnn ntlv/il rJtn ntnl. D,uu9n'o o'I-lxl -tnt' l,xu ln')n o,:r'lyn o,'rrnt)n o',0ogn'on o,rr'?r:,rnn o,'r:r,)tlltg o'r,o o,hizn L2 -? nnnn ''r:nt)n ,uu9n,o;-l o,h'goit o'tyyn ):? Gray rami communicantes D'D'rn onluugn'oi-l pl"run nryynxl n ''1,'rv/ nru):nn ))n orr ,r:nrln 'uugn,on p:run )u 'tt'-rolx tnt,n otiz'nn )),rr,o,,r:nt)n .Lumber as. -i"l nx o,n)n t?>'T"r-rf..o'fr-)x White rami -nr Gray -n t,n' ,Psoas-

orop)sr)?r

1rn o,n"non o,:r,)y;r ':u. L1 -L3 a:rn o,xyr, .4-3 D-t9on .Lumbar splanchnic ns. tx Celiac- ) o,L'o ot o-ln lrux-ln 'r:nr)n ,:>:)co;-r :yy.lntermesenterial plexus = '-rurrn-rulxn 1.ux) - Sup. hypogastric plexus -n ,:,t )y rx o'n"non o,llnnnl o'lyyil ':u .Renal plexus-) .,yn;r )u o,)oo'r D,pln on o-rry, rux: lnf. mesenteric plexus -n ,:r ly lx ,lrxn xrn D-ry'
:

nr-'lrpn

'1u.,

"'y o-rnl 1u:n )u n,Dllurx;'l n)tynn )u 'uugn,olcn

:,)tnn

): o;'r Ascending brcs. of pelvic splanchnic ns. .l nx ty'9ot onr o-Tn ')) ,ll )vu o,oro7)9 ntyynxl o'rrx) o'-lrgrnn -Tnx) o"uoDgn,or . n,)UO,ril ,!ni-.,r '..rtx) n'UO9D,ot9i't npgOXn on .S2-54 ,)-rpon i-l-l-Tc.rn urnr Rr;'l o,,)p,r)ur o',:::)con o'l.ylrl o'l'on rry'n o")t')9 0'tlx o-Tty':rP'ut lnf. hypogastric plexus- ) n,gtuynt olui?"ln ''T,y'lun nn'-Ty' o'"rlty o,ot)l oruiT-rn 'l'y 'runu orx:rn,tg? anln Asc. brc. o,n)u: ,)uo'rn 1r)rpn npcox) .;rx: lrrx) o,xxnrn n,orop)e) or9-'ruyD on.;r)rpn )v.r n')xnv.rn nrrop)s) o,Jlrnr l'xrn)'o;:l lu 1r)tptrn)
.':nrn
o'uu9n'o-19 B,l'on o',r::n o,,)rvo'r o'l.vy
;r?rpn

nx D'i79on Esophageal hiatus

-:

uurn oy n9v-)on nx D'-t-Trn Post.

\v

&

213

ry )nyn n:lyn ,l:x

Ant. vagal trunks - x

.Vasa rectae-n

o'Llu9n,o-19

o'l'o

. o")f,'l9n luln 'llxl L'lon o'r)r-rn .;urn )u o,,nnrurxn o'l'on )u n'rpvn noni-l nx o,rrnn :Celiac plexus & ganglia 'nu l,r n:rn orop)on .pl"ron 'l,y ,lq./n o'n:rnn ;r,):t: 2 ?)r nn .L1 n:r:r Celiac trunk -1

D'p9onr ,n,nngyront

n'):,nrr:xn

:tnrrlxr o,:r,)r::t o'oto;z)g

nu-'lrxxn

llrx)

o,nTtnn o)t:

n,rlr;ln)r

nrrv

o,:r')r:l:l

nu-'rxxir ,19 )yt n9l/-ro;l )u Crura-n 'r9 ty nr')t-rrgton ntutlr;t

181

lunrln

'i7x'?'Yn oloy')g;t

.D'l'o )qJ n9r9y nu-r? In't'r.

nr-'ltv.iy'i"l

. n'g'trot

nlon -t9on) D,)ytgn D,l D,ny)l nu-lxxn lrrx) n,':un o,oroir)o? orrrrr

.l')v n"non Lesser splanchnic n. -n .Renal as. -;r )'u nx,y,n rr'trl :Aorticorenal ganq.
Sup. -n nx'v'? nnnn o'Dvg)t )vn

ln

nu-lrxxn 'Ll )y n:rn r,n'

))t 1rn:.Sup. mesenterlc

oang.
a.

?u'?'tultrutxt '-rt'-tulxi] o'l9n nuu lrxl o,:unnDn o't.yy 4-12-n:trn :lntermesenteric oldxus D'lllnr n'7?n ov n)yn)n D'-ltuP -]nr't D,'ry'ni-r r,9'yo. nr'!x,tu:rnn 1t'"lotxn ,rv.r ;'1, nu'.ltxxn Sup. -n oir D"ltY'nit D'et!n .D'-'luizrn ,nun?n .Aorticorenal ganglia- n ?ur Celiac plexus-a )u '-lulrn-lulxn otoT)ln.lnf. mesenteric plexus - n nx D'-tyt'o"yynx;r l?xr hypogastric plexus lx o''l?1y''uou D'9'yo ,n'))b o'9'IJo lnnt D'lvJX'tn o,,'tl.nt);'t n,'::)gon D'lyJJn ':un ntnttn ):pn .l.V.C. -r nu-'llxx ,onllxtt ,oxrp:s) o,nyg)r Ureter-) D'e,yo ,D,,-.rf.tx

-n lunun trnnD mesenteric

)yl n)u n'vP-tl9'fn "ttrxl nu-lxxn lu ,nrpn D'lgi'l nuc/ ,:r )y n:rn :Sup. hvpoeastric olexus )v )vcnnt Ln]nn olop)sn nun 'c): .n,rvy 'rrx lu nlou.r osn l)-ln .Middle sacral a. a v.i ,rj o'lvvn 'tuj o) D'e"ilrvn oroT)en )x .R. & l. hypogastric ns. -) Sacral promontory-n ,t9 Dlltnnnn o,r:nr)n o,,:>:)gon
:Celiac plexus- n )v", nt,leynon

olu o,,:un o,oroi-t)c

Vena porta :ntHepatic

a. -i-l lrtx) nrrrront In'l't _

.Splenic

nr-'lrv/pn o,r.'o rrnu'l ,nu :Heoatic plexus . n-tn;'t o,:?r, Common bile duct- ? ,nr? o',:yy o't'o ntiTeonl

a. -) o'rr)rrn;r o,:'o 6-4 -n ,r:r :splenic plexus

?u ntupn nnriTvn 1rx) o,rrlnn ,L. gastric

rntx
)q.r

a. -) o,r)nnn o,e,o l-4 -n l:rn:Gastric plexus

o,')xlln D'll-lun )u n',tuorn o'c'yo) o'r)nnl n:,7n

)u Greater splanchnic n.-nt Celiac ganglion -iln D'Rl.n o,l.'oD n::: :Suprarenal olexus n)rrnn 'xr )y lu, lgxr. o'n'rnonn n"l:r'h:lr o'l,o or.nl' onu o,l.'o n)rv1 .-Ty;-l .o't:r'h:)oo19 D"rJugn'o o,:rrrx:! o,':t?tnln on n)x D,xn .lyn rrrx ?,u n,):rle ron nur)rn

n'-lt'-t9to o'y'rn D'lyvDr Renal as. -n,19 )v o,r,o nu-rn l)-rn ,):rn orop?el:Renal plexus Aorticorenal gang. -nnr Celiac gang. -irn o'g,yo 8-4 n,?r7n o'orop?ln .nlrurx) n'".y,-l9rxr otoiz)cnn B")l-l Dr9'yo u n')rpn.,:un o,nyg)r lrux.ti'r'r:nr)n lyynn o,'rJo9n'o o,t'o o'x'f.nn 7)nat n'):n 1lx )u'uu9n'o-lei-l lnyv;-r.Sup. hypogastric plexus-nn nrnt-ln o,l '-lulrntutxn o] olv.,''T-l9ll. .Renal plexus-n )v ol o"non Least splanchnic n.-n.Ureter -n )u 11,?vn . o':ru-'lrxt o"?:rrgro ,o,,)rrn o'oro7)on l'1. -ruy' tnnn 1nu Flenal ganglia

.-l ,n,,):rn o,oro7)l: o'lti?nu o':,o ):pn Ureter-;-.1 )v 1r,)vn p!nn :Ureteric plexus Sup. -;'ll: ;'lv'lnur n'ou9n'o'l9n ;-rnr-rn;-r .Sup. hypogastric plexus -:rlntermesenteric plexus .'?x.rr orrpn D"uu9n,o-'l9i'l o'l'on , o,'?7'r)on o,,:>:)son o,f.y.rrl i'lx-l) n-rrpn hypogastric plexus
.1rxru lnf. hypogastric plexus -nn D,'-luo;re,nn o'tyynn

x:

Ureter-n

)u

. o',-tftx;"1 rx o',r?r7,ooun n,oro7?cn nx o,r D,pgon o.r n)x nt-.lty'n

;rnnnn p)nn :r:.xv

1rx) 'u?uo'tgn hn otlp xril lut;-) )u; 'nr:rurxa lrf.yyl ,oogn,o-t9n f ,)'rnn tv/ ,'ri7!;'r -T'i?9n;-l o'I.t 0.1 xrn .)r:yn r)-tvn n?ryg nx xf-Tn 'uu9n'oi-t t,,f-ln;t .nturtg;:l;-t 1: ,rrtr )r:yn n:ryn lu rn' ltl'yg )u rvnl .n)x o'-tf.x) oln nlgox )u/ nnngnr nt'y'nt ,JJnn )u orn ,): nryr)lr;t)
?>

,?-ivo, n

rx,n o,,on o" ",.=ysn:l""TL-:"11,Y ,'ilg'-T LX) xtn ,)-'ryo,t LX) .ol;-l ,)f nr:g-tllynn nng-TL o,p)nn o'-.l,tun )u orsjon i.,lxytlf D-t)l .Referred pain )v.r nr:rx r) ulr n7,rrn nrrtnl ln'l n'x

;lT]J#lli,l;ly.i.]iliJ3"li]'."Ji]i;

n?tlnNn Trrtil

i,DT

Erector-n ''t''tu rrytly':'-),tu.l;-'r f'f'tnn.nl,yogt ,"r'-tu t,)"lnnr ,L.1 -L5 rl,)rn -'n-l) tr')"lnn l)-ln -n -l'"lu xynt'nuvJ -lrr' .Post. deep long m. :D,plnyn l)n ''r'-rv,l rrvr:.p )v n:n:v.rspinae m. = o'rt-ru ron ulrv-rn o'nyg) xvnr Ext. abd. obl. m. -n 1':? Latissimus -n l,r.Latissimus dorsi . nr,l"rir) n9-lrn rrrx xrnu Lumbar trigone

lnrnxr lliac crest -nn rxyrnu Quadratus lumborum-n r,-'tv; xynr n'-lnxi-r luf;'r l9-rf n'1r''rJrN -rry xrn l),T,)yr 12v1y nx lrun? r-r'pgn,ylnn'r,-rrrJ rnr.L'1 -L4 )u o,,lnln'oyt"l9lt 12 y)yr .T12-L1 'r:nrln otop?rnn :r:yrl l:pn .n,rrv) n'r-TU;-l -Trny lr9)r -rny o: .Dr'-r,90y'xl

nlrrnl?n nt,?tnn ,ct: ,r'v) n:t :Psoas m. -;'r '-)''1q., Dy -TnxnD n')x'-rn tnr nrrurln nr,?rnn ,9r)n ,rut'tnxn rrr'?7rrun nr,?rnn 'lr)l r-lri?n ,):'rlr,xn o:nr,)? nnln -rlry ,non'g)> rvr 1)rnu 'l-Iv.,/l')'-ru.nr,t:'nt?i'r nr,)rnn ): )u o',rnrn .L2-L4 ''r:nr)n orop)cnn r.nvy . Femur= l-r'n Dyy )u Lesser trochanter-: rnx:r
.

,oyr19nnr' ,on,l,lv./ o,izo'-Ti'rnl

)u n,op)e:. o-T,p9n .llio psoas

Inrnl lnn lr9) rx
1r.rn

m.

-n nx D,-lyl,rn,r lliacus m.

-i-r ,r,-rvJ oy

rnxrn

xri-l r)-r-TL
.

.n,px,),xn norgn rl.tnr lliac crest

)x

nri?n ,n9'rn n-lry )yr xrnr lliac -n Dyy nx rcrn :lliacus m. rnnri-l -l-'r,i-r clrg) nx lugxnr ,l-r'r rnxr Psoas m.)r r) lrrrunn lrlun

-l

lTn

.Lz-Llr-r

i7

n v.,,

)r

ng

=r,

I ti

""ll

i: :r]'l'lJ;

nlyr x,nu
))nn ): lliacus

Thoracolumbar fascia-n ngory Quadratus -;'r nxr Erector spinae m.-;"r rN :nrvoe . Ant. Middle. Post. layer of thoracolumbarfascia:rrtru 3 nx n-Tg-inu Transversalis fascia -n nx xynl Psoas m. -)r Quadratus m. -) n'trturx
-i-l -)''tuJ.lrx)

n:unnn or x';l

.,?t,t)l,xn u:nr,)) nnnn ;'lun 'c)) ntunnntryut-'lrxllgx x'nu.l t)un n'vogt cltuy

,o'-'l'-ru;"r

l,:)')ux'rsn

o,xlrn,-t9n

I'f

;'l-r'"l9Dt

,?:'ntt:xn

Rqlfoipprlto;nqrUrn
' ngy'lon

-llt ,l:xn lrgY'-'t

.'-llnXil

loln

(Adrenal glands=n,):n nt-lnt'=) rrr,):tlgro nlur): n'e'yor Aorta abdominalis n? o,n-trnnr lnferior vena cava SymPathetic trunks ntot):t n9D') ,)) ,D'lyy ,D',tyy o,:r'h:r
Cysterna

1cr 1':) ')ux'rsn nlXll11''l9n l'l nllni'l'llrx : o'xtri-l o'lloI o'nrrD,olxlln'-rel-lo-ll Ureters-r nr')r .1
.2 .3 .4 .5 .6 .7

chyli

I$,$+en
xvnt

:'Rea:,itb?

-Trny

ngru ,nruu ,-'lrnx o,r9 nuu ,-rnp ,nli? o,l9 nuu )yr .,-ln'19 ,)xln'-r9r-rul tlx ,pnnnn lui?n .'-'u,-t9lxr '-'lr,-'l9ro.D,tui7':u n)r nyryu lrry l)yl .n')ru);rcur Hilus =i'r,)f;r -ryv; n')xnun )u or)'nn.rln ))r: n')xnun In nfrnl r,rn,i'l .lliac crest- ) )yn n"o 3-2 -: rntp'n .L2 ntt)l n'ln'n )ut L1 nrt.t:

ilfu n,)x,rn

,run yiTu lrnt nnt rn n'):n .nn'v.r:)t ;rnnn ,'llu) nxnnt o')p o,,r:u) ;rn: n,):n n:tr lntu: ngroy x'n .Psoas m.-n -l'')u,"yt nt,)rnn'ct: )u o,-'lt'-lrJlxn o'p)n;r,"! -ryDry nr,)rnn Hilum -r. n"o 6-5 x 12-10 :n,)rn '-Tnn .r'tn'n ln -rnr i't)r-rx )): lrrr n')xnun .n,ur-l1,9 nnl-lrl n'ltn ?vt lx r)rnl o):xn Hilum -n .lnuir )':tn - Ureter - l)eu;-l xylr o'l.yy ,o'Ti-r '?) o,'t?n n,lln )ultlluotcnr r-lt'-lulxn o'l9i'] 'nuu .r)unn xtn Ureter -;ru,r Renal pelvis = n'):n 1.lx ,?rtn or:,on xrp:n n,)rn l)xr o-T;'r,?)) t.'lon lntu: x)n nnrn o,-ryr,r or!'n) ?yn nrty o"ngvJl
'-T'v

.Renal slnus=

:r?]'tn lnluilt nt'yo9n -lll,n;'t nni?-tf nttiTnu n'tntvJl n,ur-tt,9 -lr}n nnP-l x'itu n'Yo9 )u PcJl i'l9luy il'?)r'l

o')ru)n o')tun lrtx)u n')b-tto:lun n'voe;-lnl n')x:tn'tl-toopxn ;l'):n 'trnXnr nn'-Tlu D,)Unln;tLaminae = O'9T ':U) rr?ygnn O')rU);t n'): ')tu: n')orto:run . o,')nn orn ,): D'-tlty o'itlu D'-trrxl urs n,)x'-Tn rr-Tnxrn 1nt - Prerenal & retrorenal fascia nt:rnyl lnt l.V.C.? n'-I,-')uor9r n'-'lr'-'rulx ;nu: nt,)tnn ltDy nx ntvtnt nt:'nln nt)vJnl n')x'rn n:,nln nnxnn nr,)rnn -Trnv 'l) )v .rv) -TYn 'llvn I'x l) '-T' )v. n)x or '): )u n'v'u:rrx? i"t -ttnl -tu"ltxn lrtx) n,xoen n)untn ')x'tnltg:x qtt:r.n,)ortottun n'vogn oy n'''tl''toot9il n'x-ri7t n'n,t9n n,tntu;'l;t:')un.n,):ta i-r,yo9i'r'-Iy'tun xvn:'lrln lntun.Periureteric fascia.1lo:t ,nr)'vl nlrxr? In'l tnt)rl n'):n nn:n) l.lc/n Inru/n .Pararenal fat n':tv'nnt Perirenal fat ,Trabeculae = nt-Ttny tgon ,"y n,):rn n'yos) ;-lrtu;iTu n'Dr-rt'g n)tos7: ngtuy n'))n nn')l-]9 . n,?:n 1n nr?p: nt-l9lt n:r)r npr n)rocpn. n'):n lu ,-r'-t9lxn loi?t rnt'nl ntprtnn n)x
;'l,yogn .a,):n )u
'r)"ln

-ltrxll Cortex =,'tln-'lt nx-'ui-r'9i?,n rtrxr I'nra) 1n': ir'):n 1rr'Surtro lnnr:n'?:n;r:rn

')rrnl))n ,t:rn ,Nephr9l = ln9)i"l xtn n,?);-r ?U n,rrplrrn n-T'n'n D,-lrxi''t,lU j:qtggxnn nt'ttt'ynnt '?rn nX)t? )V.r O'-'lU';-1 ')lrtu,nn ylD n)l-TDn )U,t OtCogn .'?tUt?;
itf,-.I;.tn

,t::

.Medulla = oeorgn

COfteX-n .,)tllLlnr

rlr"lynl

;lrorn )vt s'llu/ D'i??n D')')n

Esoph,trqus

-Lefl

srrprorenol glond

ccvered by renol ioscio

byJyers cio
A
a
E

-Superior,, rnesenlei ic or:lery -Lef I l,.rdney c<.rvered by

rencl foscio

0
R
Ti

-Llt

lesti.cr-rlor vein

Lefl ureter covered by foscio

184

Er.cllr 5lir.l[
Frt!J nad

Srrrqi\!

?or

l.rlqr,Jnr.Fiar rttUl Linbor!g1

Iol! r -

L{tb!:ihrt ilum

iorli

trisnf,l.

blt

trarf !!tc

!r:im!l 'Obl.lr,q
Inirm! I Cltlj(u.

'fcirrd pcrrl :rsra

SyrF nt'ttl ie

F{J;t!aclt irvil/

.!fi$ *klr
Lcol
!ir.nln.lba

tc!

r\-bdoa):air

178
):: .,):rn on'o)

T,r:rnsr:erse Section: Through the Abdomen'

irrd bl',r:rn tlicit

Ty n'y'rn;-r '?7'urrp "lnn )uJ D'-Trny "'y nlrrgrDn nr-T'n-r'91 l.r'lxn n)tln;'t "llrx )r.lnterlobar as. rrx-li?lr Renal a. -n ?cJ o"-'ly'v o'e'vo Inu./ nt'ru-lx rn!, nlY-'l n')y''u-tli? n-Tlnv ?u n:rx ntnn ;t'lvJ) nnx n,1f.l?-rorx n,-ru-'lx l'l i-r,-T'v ,lun n,ti?'u-1y' nniT-t Dv n't?t-Tn nt'n-r'9
.,n,1r.r)-'lulx n'-ru'tx

:r: ir:c rcvcl .'l rhr.lj:1*1*jl-jjt.3$h,g:*l*5.'-yl*:i l;rru\'an+ ]rfcccllcs

l> .n'):n

ARSLIATE A,
ffi-

CAFSULE

II{TERLOEAR. A. I.4EbULLARY RAY

:NAL A

l',.IEDULLA (Fyra{nid) RENAL. CQLU.IIiI\I

-.' &, \cSU" f'ge

AHCI,jJATE A. ,3 l/',

nlL
PEN,4trp

EL)il$

HENLE'S LOOP

BOWh,IAN'S CAFSLTIE
(J

EF]ULUS

4r.Jjrw,iu$

I.Rq.T B

[.'l4iOR"'
CALYX

l!
r,liMoR
CALYX CNTEX

FENAL

Ei$U3

s=5 ,/
COLI-ECTI:NG rU SLILE ST,i L C.ONVOLUTED
Df

t.Lrll

I E.1

PFDX II,{AL
CO I.]V'O LU TE D TUEU I-E

;U8

LJLE

tof,

Arcuate = trnui? r"lry r)J/t n'9'yo) n)\gnn n)r-Tnnn oiTurri?;-) nx Dntnn )ru) ny,tn x';-t tux) ) nr?vsnnt oporrp) nr-r-Trnn unup lnterlobular as. nrglron n)x o'g,yon .n'-'lun n'lytarteries nr?vgnn'J efferent arterioles rrxvr nlogrpnn .,)rtnr?.ln nro9ry' )u Atferent arterioles. nh-Tnlvj ,lr:rol l,fon ir,:u nn)'sp n!)i7n?

1p'n) lrDn n)r-Tnn )u nrogorcnn nrl'n"l'9;'r o'ol

nr-'lyr' ,on,oL

nn:u; Henal papillae= nrnue 12-8 nrr,nlsn 'tul n,'v./x"ln D'9oxnn rt-lnyir )u n'nn9n D'xynl D,lop o,lnn 8 )u n,:sn lrn) nru)n nr),cgn .,)rrrun .nr),gc 3-1 ?r;zn loy' lnn ): .Minor calyces= = o,)rr; o,tnn 3-2 -1ln) D'nrgt D'lopn D,t.r-tnn d,fr-lnn .n'):n ):n lnui-l nx n,r7:nu.rMajor calyce 1,,-Tyu Renal pelvis= i-r,?)i-l 1rx) o,:prrnn o')rtrn ln)t nr-ty'n'rtty l:xi'l .n'));'l )vJ on,o;r lrnl xynl ,?R,rnr-tglxi'r lnc/;-t nx ?,lrnu nx Ureter -n nx "ryl,r ,1nun n'ntl)u) nnnrnr irn,l9 ltltnon il,?)a n)rol7 )u rnnn nnizr -l'y':u -lll'nn nnpr? l,)unn x'nr n'?tn on,o nx . o'lnni'l nn'pr o'p)n 8,")''tqJ otU' -to'1txnt lixn ,o,tr'tni-l nn9-Il

.n,):n or:,o

tly)

D,otfnn 1n'rprpr n,)rn

lrr)

D'n-rrrn 1nu'r ?u.

3#';lr""t'.1i"r;]l il"
.

3iJ

Il'1,09

;'tn,-'tT i"Dl,x lr]'{/i-t

nn'-lT

-lL'nil nny'-)t nln ,):'nrr:xn p)nn

,rv ))nr nry n'-r,ru 1lt ?vr tr:v :Ureter lnun ),:tn xynr pnnrn 'ynr ,)r,nrrlx 1r'?rln rvn. n"o 25 -) r)-lx
.l.txt

.'r:.nt)n lrrxa )u n,?xlrn,lc-tuopxit ItX O,ytn ,PSOaS -;-'l ,-'t,-')VJ r31 )y gr11p n'-tUttX;-t 'lU rx (lnt & Ext. -)) Common iliac a.-n )u n,xprro':n ;rJnr ru-lrx ): .1.rx) o,-)-Trnr Ext. iliac a. -n n),nrr nx . nnxnnl nr')rpn nr'-ru-rxn "'y l)xr Testicular a. rx Ovarian a. -i'r ,"y lror)x: rx) resticular a'-nnr Renal a' -n ?u o'e'vo" n1:"T.tJ,lJ"Tl[].:ill:ilil?ixt;

"'

.lnf. -nnr r'-'rLrxn rx n,r?rp,uou;'r ;-l'-ru-rxi-l lrtx) o'oro7)cn ,o',?:rn o'orop)cnn :-'ru-rxn lrlyv D'lyyil nlyynxl. trun r:rn) o'y,rn tu-'llxnn (afferent) o,u:rex o':'o hypogastric plexus
.L1 , Subcostal n. ,T1 1 n,?:'gon

nrnngnnil )u o-lprn :?u: ny,nn nr'lylrnn nxyrn) -ru-lxll )u nr),gr Drp x,ir nyrgl n,?nux n'ntc?unt n,):n 1:x I'f l-r-Tl og./ 'x E'-ru"'rxi-l 'ru., D'-Tnxlrn ?)> -1rr: .,-'rn'-'lgit ;r,):n J;x: nt-lltvn o'-T'l9l D'nn9,lu]' D,'t-Ttn ont nn?utn on'l'l;'l-rt9;"lnv-r;-r:'lti?.Y ntxn nrrv )y: -lu-ltx o'-lyt'l . n'nrc?u)

!u

n:rtr n,):,nrrlxn no-lrxxn '-T'v 'lun nrxvr, Renal as. 'nu :n,?:) n-rn nisox nxt n9y-.ron YuCrufa _n nX Of-t-Tt D'ytn nil.,i?9X Dllt)Ur o,?r-r: or,)>.L2 uxt ,,1lr,;'r ,)l.rn r,-l;r ,l.V.C. -n '-'lnxn n'tlty x,nt n,)xnun ln n)rnl -rnl nry'r ;-l)r-rx rnr n'ln'n )rnui'r -r,'tl ox"lplgit ,,)xnun ,?:tn l,ttn '-ilnxn ltnln n')xnun .lr'-ro,-'ln;'r )v; ttt'n rp)nt oxrTlcn
.psOas -;-t
'-.1'-.lpJ

o,:r,)yn D, ,)run

n,-lr,-lotxt n,-1,-tuot9 ;-r,))i-r or:'o 1rl? o'trrnu o'9'yo -t90n) nr,1:ra nr'-ru-'rxit tr?vsrn nr),n: Post. & Ant. lnterlobar I rr'1:rn n'-ru-rx;-l ?u n"rpun D'e,yon o,?ycnn on'o;'r lrnf. .n,?:n ;:x)

;t,x)r7l'v I'xr yrliT ,r)rpor uln;o pgon ,-rp! I'yo

): .lrlnr,gn l'fu

nr-Trnt/n

pln? nhuu lnf. suprarenal a. n'?rn nrnr') 1'vo nn)tu; n'):n ort'o? ;rrto':: ':g1 ,n'?tr n'rurx ): lurtx) D'9'vo ln)tv.r ort a'))n ntnt' nut?r )c./ llnnnn Common -;'ln o; o,nyg) ):x nurtxxnn nrxvt'vJ "rrtt rx nnx Accessory renal u. np't7 o'n!) .o,'lnx o,):'ntr:x n'):n n: o'nvt)t ln'1. iiiac a. -n lx iliac a.

. D'oln)oi') 1'r n'l-tu)tp

1rl)

nrrrtnuas.-

n,nltn .nt,tt'1uot9r 11t,"lt,")olx ntDt-tn nr-rf?nnn D,"1vD D")l-'li-r o,T'-'lrn 'l?./ :n')ln ?u '-T'-'un il7'ln nu-rxx;-r '19)n "rf.ry (n"o 7.5 -t) ':n'nn ltrx ll: ltrl ')xnu;n . nt'):ln nt'-lo-lxn ':s)n )b lrrr L. testicular -r L. suprarenal v.t:rnl ntrptnn .l.V.C. -: ry'lnnr Sup. mesenteric a.-) nnnn rin .,)xncJn ,:,c.rn ,r:nr?n lrtn '?rtrtn rlvrt L. phrenic v. Dr rtttt-'li? o'ny?tv. -n )u':n,n -t,pt D,,nont Dlltlxl1i1 )u rrrn p)na'rnxn n:rn .n"o 2.5 -:1:rx,':n,n,ll-tt-t t'"rt;t .r.v.c.
:;1,))n nx D'ri?ln D"n9n'? n'otop)o

n')>n ?u nD')l-ten llnf .n'ur"rr.'9;l n)rosp? nnnn

3 :n')rn ?u'rgn')n

rtiT':n
.1

.2

.')rrn lntu.r: .3 nx D'ri?tnci nrrr:y 5-4 o'xyr n'?>n )u or),nr . trc;ir oy -Tnx ruJpr D'xvDr D'l'rnxn o'otop)cn ':u nrrup) D,y'rnt ,):rn r,rll o'r)nn o)r:.n)rorpnn nir'ln nrrr:v o'r?rrn on')x,;r')>n )u., an'l:rgn
Lumbar

-n

1tr

nsn,?n nrprnn DUn .rr'"rr)rr)n n'ruJi7) 'r'vr'

-n lrrx) rtxynln

.Cysterna chyli -1 )x trunks . lr-rn i'lnrxl ngn')n nri?lnn -lurtxn )u 1r')vn '):'ntr:Ni-t tp)nn o: nlrup)r nnrnnn nr,rur) ncn,! rrr,ru.rp) rp:nn lrnnnn'h'nltxl tp)n .Common iliac a.

lexl .nr""

l:'l'i3:-"L:i'll

lesserthoracic ,Celiac ganglion -;"tn o'y'in r':yys Renal plexus -i-ln,nrlrotx

nl'ol-t9Xn nt)t,lrrtxn

ltlvv :n')ln lt:vv

.Aorticorenal ganglion -ant least thoracic splanchnic n. ,splanchnic n. npg-Ttu o'p)n 'D,'t'lg? ,uu9n'o ltlyy - '"ltutDtn xtil n,))a tttyy -ty'y

urn) o,y,:n n,)tno D,,nurnt

o'l'o.o:'to-'xlt o'l)xt n7'u)oo'rsl'):)'xrnx'oooo'o-l'nolH;l

.T10-T1 2 o,)prtu

o"):'go D'tyv ntvynxt;-tl-'r-Tun

For criudata.Ib:ba o! iiror

.n-'ltnxnt i-ln'li7n 1n) o':tnon o'-lfxi''l oy

I.vL.E

nl'):n 'nu) u'u ;')ntrn 'on'lx t':n) o:rtuon )y

Eroph,rgir: rnit

-=)For brrc

lrlt

tr1.clt!('art'. For.rtomlrch

ser

o,!.livsr

.r),
'-/'J

'i4
Ftr rfuhtlb.be ol

rof

9!rreo

li

Jt,qqi gf .ilrsrr:varso n){isbaofoa

.F-o;

c;ioa

3,or

or
5qq cme.H gut

sddl g{t

Rooi of mgrctrtarl

Duodenum and Plncre'ls, in situ

Tlr ortarrn ,L[dh".. + tr

" .,-.r- , - i, .,:!.ri i. ;iJ.f;i$n a{..}.r'i^.. '"'' ^-':x*
.n

*\'d'a.l.ts

,o ,,u

6a#** fr.nt& t **$^*.+ g4$ I *f

[a@i

*t

ftxml$*
Fl

raid

)-

cntol/1*rr
tr'rr u-q-f iln'/-r

ti

d'us*++",{ {u*r

t'l Fi -4'1

TI

o
iti;t.
.r

ol

&

/.ttrtb{ettr
*4*t|Lo

tu*r hn

4S r,e+ n l. g lgn $s
-r

n7?nrrn nur?r ): .rrr'1:;r ?u ')x'rnttgtoi-! n'l9i-l nuu '19 )v ntnTtnn .rl'l'-ti?l-Tlx ntut?r 'lu Ditottpn .i-lllu -T,i79rl .nlv., 'nrnngn;r -upn lyr ,nnvy ':gr npt)r xrn p)n ): rc;x: n)trnt oTurtp?

n:!p

n=p : ]n:

n:.:h-r, :t*:t -o* nm:),

.

;p*

Glucocortlcosteroids:o'-r'xt-rpo o':rnrin u.,''l9n .n"n) 'll'n xln '?:'t.rxn ,1n: o,u,?r-ru7)xnr D,)rnn )pun 'rru-r rryryl or-')tn r-Tlpgnl ny-'l9i'r .Mineralocroticosteroids .Stress = yn)':vn) lnn nlt:n]'ntv-tenl nln'nngi-l )u o'rnlnn 1t)'n: nure;r .o"uugnron o'lt,?:rtn nx t-'ly'u o'xn) o,tr)rnt;-l D;'tv/ D'xln xtn '-'tltJin n")ty'n ,n'):rrxn n?t'rnn On .,-lt,)tl:'r9 'OOgn,O :t:xti n,l:pn Ont n'r:t'hl)UOl9 o"uo9n'O O':trtXi) D")l)tntn On ;:)t ryuu9n'on D,lyyi'l n)-lyn r?ryc) ilnr nJJgvln ')v: onc., orn rtrnn) l'-l9l'9x1tll l'-'\91'9x o'u''l9n .c1tra ):) nr"r,i-tnl.'uu9n'on't-t:;-t uv./9nn nnlyvnxll o,l9n nuu Xtnt -lyp lo,ol..n"o 1-n ntns t'ryt n"o 5-3 ln::u uttun nttv nt')lttgtol ntut):) .,T)"lnn ,?:rrsron T'tt;-l Xyt, ount ,"ll,rulxn ;'lnou,ll. Hilum u' ;rut?: )r) .rrt')ln oy ylnl RluJ nur):n .'Tl);t nyt l.V.C. -n oy y,rnl nxlr ngv-loi-l ':g)n nnrtn nrln'n n')l.tlgton irut?ra Dy nnfq;1. x'n nn'-Tint ,-lrnxn nsyton )q/ r)xnun crus- n )y n:yu:,vJn1n n-ltv n)vr n'?xnun .Celiac plexus -nr Celiac trunk-n r,rgn nrut):n 'nuJ l't .ox-'lPten ovt nl'y'n )u./ Cardia-n ,"y ntctov nt'):llston nlut)ln'nu.t li-lt n,yo9 )u p'pr 1-T,"!r nr,)>nn nl-I"\gln ;nr n,hrn n,yogn .lnl,ul nryrlu ?)r 1rr: -'rrf,nn rD1?11 nryrtun nnuy' nrgon nt'tlovPX ntuth ntn"7 o'nvc) . nt,-ri?yi-l nrur)t? t,lonu

3-n

orn nlrsoxn?:pnn })t'1rrr.nryx,")r itr'l;-'l;-lf. o'xyrDt-TXn n-l'u./y D-Ii-l ni79ox :o-I;'l ni?9ox :nl'"lu-lx nlyllP

-l' l-llPnur Superior suprarenal as. 8-6 .;tu-ttxxnn l'tti?nu Middle suprarenal as. -lnl' lx nnx .Renal a. -l l"ltPnu lnferior suprareanl as. -lnl' lx nnx
.lnf . phrenic a.

'1

,2 .3

tg6nf

52 -> yytnn:,

O'9,1.,O

O,?y9nn n)xn ntrtpnn

)ln

.ntrtnluOlX nln"i? nl'rurXn )l 1'r .nul)rn 1tr) o'r-rtnu (60 rl o'nle))

Suprarenal central ,r).ln -rnx lrr? n'rp:nn o)).nt'lutxn nx'o'tt)n D'luP D'-I'-ll : '-I'll;l Ili?'ln -n ov lnxnn xtn lxnu -Tvt .n"n 5 -> rrop .''ll'-lulxn D'l9n nuul nut):n )uJ ot)'nn llnn xrl'n v' .'-lt'-loo19;-t n-T'yt l.V.C. -? nr-r,v./, riTrnn xri-l l,nt rvrt L. Renal v.-) rptnnt lnf. phrenic v'

:'ngn')n rliz':n

nlr:nr)n ngn,)n nt'-tui?l D'n,'nonlr)-lni-l

'Greater spranchnic

lrtn lrrx)

-ri?vlt o-tn'?: -1rrx) D'r/lnn.n;'l'lvJ .. nt:t'?!n

"l 3*Jil: :i;::; 3ilxl3

l;,;1i",.?fll::,t:";';li,';'';?Ji;"".""rii,i=""xil:#"1;?;::: ;##

!tl. !trie'* iL $.rl i, .\

iiidrd .qJi*i*l

!-!,:

t!n,i{. .\
..

t..

twtr ;$i!{ l.qrg;g 6i

ril iF{+b;,L t.:

- E:<;g.--tii;al

ilrlts uir.s

ol

!\q.

i! li

rstur

,i

fhir"g6t i;:ri*.+ l;t'a

fd tilr:fa:. ii ,'' ,.

l.ir-J.

h$,:hii aJat*l !,r"qt t3:!?rrl. r:

I
r*5-\:
f;,

nAr"A16

J l*r-vl:r cri ?'

-5r!
lilq.

tri .trt*1F.t{ ,i,

Jiiie:rd ir,,

*.-'i

iitle"i+ti-,{ r*r:

i*l,ft

tr..J:i.i-;:H.{ \ _
/at1d

liru.'ix

l!.P

lTr!t4,1 gifi r. -ir

l'E*'il4a-n, {rJ I
F.&'o! t^l;i\l.

r
I

liir in

rhtd8f,
L:tl:*! ,l{.i{lrF . Eir,lr,l

- &rilrr*s
--.* * *
|

11

5ii: r:lli4*. {qiJrsia$ Itl

!l liirll:Jr I

,ut':l
n.

*tdillgllJ.i!

trr.ctityw- --

igrtry1:rflg;lr

!im:v. - .rllcv r*i r{t '

lilril:k5:
11.

id. nr+l&-.rn+: n
I.,!g!r,?it< o

.,{$.r -\

* &igrl"irq,i,
-,.tl,i:i'!:r*i^91

Flg4.1ii3aqs .---. !:r; riitri. riirr;

itltl:ii*irrii

r.

i4arl

'tl

,tl

.'t

\ l#$Ii.iRrt! dllj l-:!irg r, i+r ",

\ ,

'.r"".laisirf B rl,

!r'i"

l'e-r::l
,ti

t- :iurit

' It

i,rr*a,o,.,
.!:t!
:ts1

;F:*t"oi i!, a!:

t,

'iif
'f)r:

. \

''J+!t,r,

!fiiF-;.Ji:r

;, {' .jl
., . t''::.

::i

,. -. ,. r-Bru!t.r

rr I

r:;)rrlt

l :hIJr,. ' I

\ m.{. .*a{ 5 ls.ii!:l:ta \ iirp. tdEljt n r; \ lvLrhl+ orou r^ s+i

I++r,qrt,ay
e

.1 tlr;r41"1

4'4a9o-.',

190

Abdorninal aorta
L4 n:.tn.yvnx;"t rp )xnu) rviT nn,,nonr T12;rrr.rr Aortic diaphragmatic hiatus-: n),nnn .o,):'nrur o')ox'.rg ,D,)-'rxo,r o,g,yo l)yr .Common iliac as. 'ns) n)ygnn
f\l,c dld gitrl \
. P!tq6 ASSBirl ruli*t h! sR*.!,
Et?.{
-.

rr.{6*\i4 rrlt

;a#***

F :fr, r$a ! rq airdf, n . 'iu+ ". 'i. i

i I

. E s-@ i"",-

-(Ar{*-:r

i'

,,'

,:orr+

15r ' Llrri

.,:'

.,

Iitili: " &d\s

;

r{

..

{as

a*

7 Ji^i,!;t,

ir#i1.

_-

H.@ffl,,&{jr

!-

.Ieckl{r P{rdq:0ri! i t.ll*': \ !

c r-d s

abr"r. af*r,i:tr)u

qlniFf - ,$ 'r

Fi

l:l

ldrn:na

i fd

iq

r;ll!ri-*

- f.ffiq-whtri

td..r$red - -

--

H:lluDtffiL Lf q,k r

,te;*s;ti lsrsu
a[i r.

),- rlt;tli.c \] lU,!l'lr-b;llf

ilih.f, .rrgr

jHif*l,r '

;,:ars ;lt ' U.id.!r,

tcwd + | 6*"1"g.,

' :!rF_hrf

'r,

f*.t, f**wqg

l\ tutt'/rl.!,
' *tstdfr'
ir.

N. tlti r. *!:r- "

ii

r q;.;p61p I trnru
.Ffrrirb I h*iJ | : 'r

Lbtrd*ls_; \{<..i .,ibrLJ ldi

:O')-'lyO'tn n,9,yO

2
'1

2
I I

Celiac trunk Sup. mesenteric Middle suprareanl as. lnf. mesenteric Renal as. Testicular (ovarian) as.

a. a.

.1 .2 .3 .4 .5 .6

I
'1

:D,)UX'-lgi-t n'9'yO lnf. phrenic as. .1 Lumbar phrenic as. .2 Middle sacral a. .3

;a'),n1un
2 .o,i?gon Common iliac

as.

;''r,9'yo
.1

oilu o,-'llxi-l nxr nu"lrxxit ln onx,y, DtiTn nxt o:)nn nx r,tn) u:rtoo;t

?y

qrLei:elesele
L4 n:.r.lr Common iliac vs. -i-r

'lu

nr-T):t-li'ln n"lytl

191

rlf-\yn )u o'r:x D,ri?ln Dl,xvj D,-I,-.ltn ): .nsyro) nnlnu c1pn ,p?nn ,-T'1tn D-Ii-l ?: nx nr7:n D'-I'-In ntvYnxl l'9'i7yr n')x o'rp:rrn )t>yn n:lyn'-tlx n'ri?tni'l n'-T'tt .tt-t'!r' n')x o'riz:nn )t>vn
. D"U9n;-l

' -

2 2

: 1u:: n) D'n-]lln Lumbar vs. .1 Right spermatic (=ts5tlell1tr or ovarian) 2 Renal vs. .3 SuPrarenal vs. .4 Inf. Phernic vs. .5
HePatic

vs. .6

[*rllnb.]gr p]gXtlq
D,t:nr?;r o':tvy;'l 3

.T12 )u

)u

Ventral rami -nn

1u;l cl'yo or cl-'lgvn

rvt: .o")l'9o o'lvvl o'llPnu o"uDlo o'rvv ?u nv)pn o'ulln 1n 50% -l .'v'f-1n 'r:nt)n :vvn )u p)nnt o'rtuxrn

.Psoas -n -t'-)u

n-lu-'lun o,'uu9)1,o o,:,o

1ln: nt't:nt)i-t nr,?rnn )u o,,lnln 'oytrg? ''lt"tolx xtn otop?cn )u tntp'n )u rlnt"ll o,r o')r;zn ntr:nr)n nulpnn nx o'"rvt'vJ Ventral rarni -n . o;"t't'l "llnnu y'l-)onnI o"rrnt?n ot'uu9n'on o'lt'?t:li-t .o'uln D'tvy o''tYt't a'?vgnnt D'-Inxln;l o'9'yo o'"lYl' on
T1

lliohypogastric n. llioinguinal n. Genitofemoral n. Post. division (postaxial) : Lateral femoral cutaneous n Nerve of psoas m. Femoral n. Ant. divition (preaxial) : Obturator n. Access. obturator n.

2;L1 -D r.tri?n L1 -n trtTn L1;12 -n trrTn L2;L3 -n trtpn L2-L4 -n ntpn L2-L4 -n trrTn L2;L4 -n trtTn L3;L4 -n rrtTn

-n nx nytn , Psoas m.-n ?u o,)ru)n o,')r'unn l?:1rr: vprr :(L1 ,T12) lliohvpoqastric n. ,nutnn ,xluly' cl,yot lurn ,r,ru) ,-lotn trryy lzoon .lliac crest -n r'? Quadratus lumborum lnt. abd. oblique -i-t nx.lrtnn rrrx),?ro),xlrJri? cl'yor ,'r.r9-r9ro;r -ilrxl "ltJJn nx iTgonil'-rr"lulx rgon Ext. abd. obl m. -n )u ;ln"ltxlt9xn nx -r-rnr n')x'rn 1'unn ,ASIS- ) nn'r7 -llln xli-l m. . n'nuun n'?r'lr: 'xil nvlon )vn o'tun'ulo .p,roo:rc,nt,)'x) n'rlrs:x nxp Psoas m. -n )u o,'ho)n o',?tv.rnn vpr: :(L1) llioinquinal n. ol)lt n,n'lei-l n'):'tr:'xn lyrun r,) lnt. abd. obl. m,a nX -'t-Tln .lnlun 7:ru nn'lu? u' n'nvg) Anterior scrotal t)u c1'vo .1-r'n )u 1t'?!rn '?x'rnn p)nn )vnu -'llvl o"nonl n')r:'tr:'xn n?vn) .o')uxi'l lzu )u'lt'tu:x;'l i7?nl o"non

nrt::. .L4 rx L3 nrrr: Psoas m.-n )u ,hu:rn D,relr nuq;r lprr :(L1 :L2) Genitofemoral n. Iytut n')t,t)l,Xn nlyn) o::: ,Jup ,)u,:rn 1'VOn .,)rrnO 1,Vol ,)o'r: .1,tro) )veln Xti't nJnUn xrn 'hrngn l'yon .D'>uixi] pu '19 )yu n,yeg;l -'ly;r nxr Cremaster m. -il nx 79onl n'n'l9n .Femoral sheath -) o:::r Ext. iliac a, -n '19 )v r)}111r1;1 o:nr')? nnnn l'v./nn xtn ,')x'rn rnl'n
t,-lt'-l9l,x Psoas m. -n 1u o,)ru)n o,,?runn !7r: :(L2;L3\ Lateral femoral cutaneous n. uth:,)n )u ,)ro)n nx71 nnnn r:ry .ASIS -n ltt:? lliacus -;-l 'l'-lU nX nYln .)l'l)l'xl')'x) nx i?9on r)u ,rrroorg 1'lo .1r:r) ly -.11,;.1 ?u.r ,lto?n p)nn )u -'lry) 'nutnn trtlvv iTeon .')l'lil'xn .luli'] lllYvl lxun lll'x .lnlnil llrx o,)x,rnil n,')run lrrx? rrr, .'rurln oroplln lv.r ,rpun ,)x,opxrln :yyn :(L2-L4) Obturator n. i"li?gox lzOon .1r,) Obturator cana-;'t 'l'tl onx r.rrn ,ObtUrator a. & v.-) nt?nn .Psoas m. -n ?u .1r:? rv 1r'n )u ,?x'lnn -Ty;-l ,19 )yu rry? n,rurnr ny'goxr 1r,n )u o'"ttuPl-TXil D'l'tul n'lluln -n )u a')ru?n o,ltrnt;.t O,,)lu/t V;zr: .orop)ea )u/ rnr,: )rrrn c1'loa rnr :(L2-L4 ) Femoral n. u:n:')? nnnn rl.rv.lliacus -nt Psoas m. -n'-t'-'tu.l )u ntt)nnn n-Tli7l'19 lv rrt'l Psoas m. o,y'eonir o,g,yo rgon) )vern -T'nr ,).rrnga

"t'"rr.;,,ur:uil];lffJrH,l liYl;fr]rlil,;lJ

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Nsnlil ttINil N I il -(Perineum ) D'1 N I 'l gn 'tlN llTR ,llN? n'tt't9l'N ill lilnu ,l lNit ngutu N.n utHt'tg7 ltRit I 1l f'nil .E..ll3.nn I'nil

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rN nrryr. rrNir nrnsrr .nlllnnnil !'"9ril nlllnnn 'rrrnil PelvicGirdle l)Nil nlllfl n'?Ni :t'u79n 'li.t] nTrjr (tnu lNtn) nruiT .tn'T iltln llNT lN ?lTlil llNil NliTl ,ll'?lJil u)gnn - GreaterorFalsePelvis .1 .lutir ??n ntlgT nN illtl ,nntTnit ,'n'nRn tR lulTit I lNil Ntit , ltnnnil u>9nil -Lesser orTruePelvis ,2 nuul irNrril nut nttir ult Rtil luiTit IiNilt Ttrln llN;t l't ?ttlit . Nsnlul )tlln l.lNn l.t r.tgn luJNt 'nt.t;t l.tRit ?ul .lt.lgil trlgit -iln lllll 0llil ,.17 n'll'l9l'N NSnlut luiTit llNitt 0l-tit ?un Sl n')lnil qtl 701 t'lt'7uit-u"nri7it [..7ltril Ntitu] Sacral Promontory ,Pubis-it Dix 7i! illl'71lit nstjjitl IlopectinealLine-it l'ttN7 l'urnnt

,nr'rnn,fn"'it5!;l';t HT;lr-

I ]Ril TINsU
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(Hipbone-lN Innominatebone!l nNtiTt) Coxa- llNit DjIl .1 ntyll llRit lslJ .nltnu r1t9uil nttS n?ut,n'ltT lsu nNT :llnlR nll'llnn nlnJUil ul?Ul nN nttst.Ul ntntlnn . Tltn ' I r . )u i7>nt Ilium-)Urn !JU : I 111flIt- 't I nRt i7)nt Ischium-Itulit !iU I trnn - 'nTtit i77|t Pubis-p'ilil ! jU ?tx N?nil ''tTt'Rit 'l'7N'it utnu '"y ntltgln nlnsuit t.us 7'll

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:E1llltl] 'ltll 'l'U !'Tnsl D'lliTil Obturatorlnternus -l'ltllil -In3l 'Jl'l9il !'15il nUU ?N ,ObturatorExternus-l'lU TnJI 'IIynil I'Igil lUtU 7N
Coxa I lNi'l tSI nN nl I llil
?N

nlnsl]il

Tlgln lllit .Ala-cltlt ltln il.'t lt ,il?tTl lltu .Ilium-?!ln us]J .1 .(IliopectinealLine) llNil ngUn p7l illllnUJ Dl:l '"lJ cllliln : .luiTir lJNit ?rjj lt.?uit pTnn rN tl tt ,t\it ,l tnnnil i7?nil Ntit c|llit !''Ttutit ,71Tlit I lNn nt I9-I nN ill l tt clt.ltn -lnt. nttt qlf it il'?lTlil illl)7 lJ'ln uttn ,Iliaccrest-uttit D.NtlTl qlln ?u t'lt'?lJit Eillil 7U rll'l9it il'l9n nuul ;lutil lst-I 7t! [.1'tu] n-rnsn? ulnunl L3 nuu ;Iliacus-it I'1017 TnNn lntlt IliacFossa -!t'?'Nit nntl N'ti7l !'Tn3l l'7Nt Gluteal T'llrJit ?uJ nuujil Ntn qllil ?U .lt:'nil [']sn Auricular l.l NJnl qllit 7Ul .ttnNii ti77nl ,Glutei-it TltlJit'l'lul !3Ul nn'11 nuuln EIJ i7l9n l3l 'n " l T l N nl l3l" nUUJn - Surface
.

Sacrum - il

nllJlS-l I !.-l 'l0l nTnynT u'uJnujnil t.T'T iIJltN

Inguinal Ligament, Sartorius I' ltll lliofemoral Ligament, Rectus Femoris I' ltlJ Sacrotuberous & Post. Sacroiliac Ligament S acrotuberous Ligament

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Ant.Sup. Iliac Spine

Ant.Inf . Iliac Spine Post.Sup .Iliac Spine Post.Inf , Iliac Spine

Sacrospinous Ligament-'l Sacrotuberous Ligament R'il0l ,Ischial Tuberosity-n.0n[]lr ntrJt u)ttn qltit ?r! llnnril i7?ni'l qrlit ?i7uln 7l nl'ut' lnTl .l.tNt tnt'l ltntil 'ntln i7)ni-t ?D ilTn\il E I i7n nunuln t.l n'ultultlit ,ili].?x !'lul't') nR:til n'ullljllil
.

- Iltlli'l Eiu ,2 D"?ltllt ,ObturatorForamen 7tx ft-''tlnNil !'''?ttuil nN tlll cll;n !'lljTtlJ 'ltlJ l'l T'-lglltlJ Ischialspine-il IIN !'Nll cll-1i'l ?tX !"-llTlNil (Greater & Il' li7 I 7 D'l9t it tlt lt E'lJiTu;it . Greater & LesserSciatic Notch :fj'l 'Ul-ll'9 nllJlsl 'nU 'T' tD E'lll! Eil 'l LesserSciaticForamen)
Ischium

.Ramus-ilnl?ulnl ql.ln il'lll

rnr?

.Hamstrings U"-llnNil ll'n

'l'lul?

nn9 ?u E'Itnnnil !''-ttnNil !"?tulit IlN itltt Ramus -ilfl'l?ulil Inf. Pubic u'tt git !yu ?rx nt t Tuln !u iln'li?n tu;.t 9I ilt t 7[Jn , Obturator ,IschiopubicArch -nuti7il nN qntunl nttJt. llt.l filIil7UJn 'nul ;Ramus

Superior&Inferior-ntflt?tx

'nunt qt.ilt it.tlt

Pubis -p'Itit !31J ,5 .Obturator-il TlIlS nN Il'l q'17nUJ ,Ramus

i7lgnil ,n'luJn Pubis-il lslj rllt llj ttgn tst.t ,n.7N.Ju Nsnl Ell.lil lt'?11il tnuujt .'uttL'9 utn! n'nt2 '"D ttln-PubicSymphysis NtiTl il'?NuJ illut? n'ulrilll-PubicTubercle NJnl tJ3nNil 1i7n n"! 1-l ,rltrit 7UJ .n'?l' I I l'Nil itulstil tlnSl ur.?uln nN ill ttt unln? ilu..tn .il1t.)uil itnt?ulit -Sup.Ramus .l?ul llnnn-'nriTil Ischiopubic ?tx 'nTiTir.i77nn rN itr rl ,nl rnnnil ilnt)ulit -Inf.Ramus .ll'il ?lu Adductors D'-l'10J7 nTnsil ni.UnUJnt ,Ramus
Sacrum il3Uil EJU

IrJUit qtln il,tll Esuit .nt'?ti7uit tt'?tnil ujnn ?ill .tn.Nitu nt\ll !J]j ?UJ .nTi7n !.l9it nutlj .nt.?tu7 u.rqll .nulnt xsnNil ttt NJnlit . I I ni7 't I nNil 'l? . Nt I 1Xi7 itYUil

nuut .nl'7tnn I 't nt?ttli'] 'T'tuJ nN n.lnunil D''Lfilt t'utll 7u 'lFNn lrl lil 'lN'JIl - 'uynN ulll I].l.ntn 'ltnNil Il'l9it N.i-tul sacralCanal il?un nR3nl n'l '7.lnil '9ll lttl ;!"sli7i1 u'T'Iil E..7Nt17Un n.lSuit Tu E.UJttUJit !.Nsnl ill'ttt ,ittlulit nTun ?u lunil I tnnnil ilP?nt ntnttn il?xnil ,Caudaequina-"utuit ll I" nN u'-lll'uJ iln-rlil lnln Ir'i7'lIn n'7Nli70 ilnTlill .SacralHiatus-:

.ntnuiTitt n'i70'Tit ,nt'?tl '9.l) 7t0 .lnNn tStl itsuit tJx qll ,51 n')'lnil .')tuJ ,DJun )ul !. -Tlri7-0.I t.?un !..)tuil ?tx itu')lit E'l'nln ilYDil !3lJ ?t! 'nTiTil Il'lgil IUUJI ,Sacral Promontory nNllTl

l:;;"iti?i;

Dltr 7tJ (Ant.&Post.Rami) I]"ttnNilt !"nli7n !igluit !'Nit' .SacralHiatus'l'tl ilun? Nit' 55 I]']yun itT ,S1-S4 ft"7li7uit [']suil
Coccyx

- n"gllil il.l'1 .?uil E'.?lull :D"llllil l'T'Til ?U.lnNn ll\ll E N I n ' i7l 9n nUUn DU i7l9n7 nUuin N I nUJ Auricular Surface nuUln NYn l E'lgi] 'nuujl ,Esljn 1l I 'T3 'luln, r]'?N'Tn tnt' ,Iliurn-it TlSlJ )uJ ,T3 7lt 4 n'nn9 ?ut nl.llN nltttil 'null I].l.Ttlll ,.tlnNill 'nTiTil

?tx r tnNn

nlit ltx ,Sacrum-? ilnt-I ,i'ilui? usu nNT Coccyx n'll Iil uiuil .nt'tlI n].7tn 3-5
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lNl (Il''ulnl'?) nlulstt

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.1

i7l9n , i7u'l Ell 'U l 9u 'n') l n l 'l i7l5n E; -Sacrococcygeal Joint j7l9n -Sacroiliac.Ioint 7u !..171i7'ttNit E'nuulnil l't')N'tll'u

.2
.3

,pubis-' n'rnsu 'rir! ?tu t'e'r rir t'l '!rno ointii"T;LrtrrTJ"'JJ'.1 .'ulll,'9 ulnu n'Ill? 'J' )x Nlil lllllil .iln'Ti7n ,lJ\nNil liTl RSnl nnnn ,Pubis- n nlnsu ?tx il'l lnnllil !1ulnlil 'J' 7u nlSl I il n'l I Til ntjlNl lnl' i-lllll rNIil n'lTil .subpubicAngle nNliTl PubicSymphysis -?

i7Tn7 ,l'nsil? Ntit nnNil u'l'l !it nlnSu 'nUl nNl , Sacrum-il ,!"9.1i-l nttlt nN

(!'ulnt'7) rtllt\tn nilJtStir I T'i7!nt niTTIt n.u'ttt'9 ilniitn nt'Ilt

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Post. Sup. Iliac

l Pubic Rami- n l 't tlnn Ischiac Tuberosity Coccyx-t Sacrum 'lJ

Sacrum
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I.I Spine

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Iliac

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I

Ischial Spine

Iliolumbar Ligament Sacroiliac Ligament Inf. Pubic Ligament *Sacrotuberous Ligament *Sacrospinous Ligament

Sacrospinous-'1 Sacrotuberous flllll3lil* . Greater & Lesser Sciatic Foramuna !'ilng? Greater & Lesser Sciatic Notches Pelvic Inlet-l .l H7

Il'UiTtllil' l0l nN nl ll lU

nu' : ln

!''7lu? Iliopectinal Line llT,SacralPromontory-i1l llllJil nuuln llu'n ilr nl?lJn 60-f 7u n't T tst' Ntit ,PubicSymphysis ?UJ !'l t.?un
Pelvic Outlet-l

lNi"lll ilR'\'il

.'i79tN

lilLnlNl'19? i"lu. tlit 7u .ntlit 7tt.]it !J N.it l.tNil ?t! ilN's.i-l u'llilnil fl"ltln-I !.'t 'ti7 D.l'lun luNl tStltx l''tun ntlSt tlIN u"Tlulil ?N !.1'tllllTl Ilulnl Ischium-it nt.ltlltultl uu Coccyx-n il3i7 nR nl'n-Ti7 ntxTJ 'nu] lrJ l.tun ttttJ ,PubicSymphysis ?nt !'ittnn 'n0l ,IschiopubicRarni-nn nt-Ilt nt.nriTit ntxTsit ,nt'ttnN u.nu:t ,SacrotuberousLigaments-i111 Ill'l I I nl'llnNil nlU?sil
nN llnnil 'I l'IlT li7 t'tu7'lujn' luJT !lNl'tgit ,n'?lNit il?unil nNsnl tl ,'ttnNn-Analtriangle.?lNit tx)tulnil .1 Urogenital-it tll)lunl .'nTi7i1 Urogenitaltriangle-.?Nu'lltttNit uTlUJnn .2 UrogenitalDiaphragm n.?u.II'lIIN ngut0it - It't.tul il3.nn nNsnl ,llNit 'tlN7 nguti ill'nn nlnttuJ
:

?tx l'" lUnn nR 77nn Ischium-il nl'Ultllll

1l?litt

'-tlTi-t 'l )Ri-'l 'l .t t')'Iti-tit

I'1.-tuit n-In3il ntntiTnl E'I.Tit ,lnl' nt't'ult "llTil lJNt ntnSuil . 'll T7 nNl 'ttllitl n luujt tnt 'ljTlil llRil.ln'l' E"u)ltn u'T'll
r

ll

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Gynecoid
nr

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Subpubic Angle Pelvic Inlet Pelvic Outlet Pelvic Cavity Sacrum Acetabulum Ischial Tuberosities

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,'n-rlil l.lNn nN ,!'l9ln l.lRil IlllgT nN n!\nit it.\git-ParietalFascia , l'lnnnnt l't.)ljit ilnuut I lNit ngljtu nNt .l tNat l9t T .t.tul nN .Iliac-t Transversdlis nt'\9i't :lu1iT lgtl ?ix nt.i9? t.lulnn il'\9n Il'lUJnil il7')l n'l I l'Tl ilni7ln il' I I l-(Endopelvic Fascia) Visceral Fascia D'llNil nN ngulu nNTil il'!9il .Il'7Nl tu.t9-ittuuiTNil ilniTtft tlj nlulSl ll-lsl'l ,!.llN l'l I]'nl'llnil nN nNTnn ,llNil ?uj E.'IJ'llit .t'Lsu'l ilT '71 Eil'7N l'l!il?l u"Tl'lgit !'ltNn rN uti77 nttTtu0J ,!.1f.'Nn nN n.i7TnTlul i77n t'-t[] 'l'u il?.tn !.lt ntntiTnl [.1'tu] ,E..lts.n
!''''1.-luj :111313/
UJI?tx7 t?n2 tujsN ltRit 't'-tul nN I I Nil ngulU .l .lUl n " .n. I I

.1 nil'l ,l.1Nit )t[ 1]ts'Ttit !11gil nu0jl E'RSnl :!..1''l3.Il !'l''lu -il l'ltlll Glutei Tllljil 'l'lUl . Obturator Externus

!i'l l.1Nil 7tU'll'lgi-l I11gil T1UUJI D'l'-lUrl :!"I]']9 !'l'lUJ ,2 nlniln !l'l i7n .ll'il 7u Lateral Rotators-l']'ll0nil U'l'ltljfl llNil n'?tTlit ;GreaterTrochanter-tt lt'n DSlJ 7ut il71-Iiil rl'0ltUltlt onTnYill .Obturatorlnternus-n1 Pyriformis- il D'l' ltilil lil Eil' I'lTl ,Sacrum-ill3 !'1.'Uil -lliin :Pyriformis l'l0l ,R !'l'Uil ,i'l-T'3n l'll9 .GreaterSciaticForamen lll l.lNiln NYI' -T'lil ,lJ T'l? !'9URnl .ilRl landmark unun I'lult .S1-S2 :lllSlJ

ElliTn E'l'Uil llPn

-T'ril .Obturator-il .S2-S5: lllSlJ I lNiln NYI' ( l.lRl) 'n1l gil U'l9il nUUl ,ObturatorFascia -l '-ltllll nR nqU'lUil n'Y9l nTns I il'7N ltUN Tendinous arch n'T' I i-l nUiTil nNl i7I Ul n I lljnil [!' ni7?nt ,llNl Nsnr r.T.lil rtljiTil )]]n il.39i] ?uJ iriT?n .llRit ngxlu ?uJ n.?'tu?it lstlit rlN ill tlt DtR'l'-1.9]' NSnl ilT.lil nultT nnnn ,Alcock'sCanal il)xn il'y9l nRsnl lNl ,IschiorectalFossa RliTli.l ll IN
IlTit '71'l PudendalN :IltNl'19 7tx nTi-t '7tt i]'lsllit I'tl'lu
,

, ('n'lgil tnl0il .LesserSciaticForamen lll

l''lUl) Obturatorlnternus l'-lUl .l

iltlTU

Internal Pudendal

. Pelvic Diaphrasm - I I Nil n9U'l! , 3 nlnlnt 7ut! nlt3t it.t ll ,llNi-l n93t nN n]\t.n n't'tu its.tn nNT .l0ln il..llt ngut0it .EtNl'197 I )Ri''l l.l itl.lgn ,I lNn 'tlNl ,Coccygeus lUiT 'l'ltlll ,'li7'lJill 'nTiTil LevatorAni -il l'ltu :D'l'lUl .ltl .J.t[] -l'tul Rtlt Coccygeus ,llNit ngljlu ?01 E"t'lnN Il")ltlll ,Ischialspine-itn t?0J !'l'0it lliTn ,(E-n ')1]tl tli ll'ln) !lN !'tlJlgl ('?NnUl 'ln') l.lNil IMJIU 'NSfl 'ltll ,Coccyx -l il-Tnf ill Pubic-ill nl]'IUUJ n'J'.1 ilUlSl nNTtJJ Median Raphe-il UYnNil llTl l9nl. .Coccyx-? Symphysis tlll n'?lNit n)unil 7ur ttunT E'ti7r !lril'tgnt ntulnutn 11''l 'llllnil 'n[! nln"i7 ]9nl .nuRl j7'ntlit l]'un'l ,nujNll :!'l'lU n-f n3il7 ;ltu'il 'un) llTil !3u il3i7 l'l AnococcygealLig. (1) tllJnil nn!? iln.Tp NynluJ PerinealBody-ulNl'l9it )tx 'T'lil Tllnil (2) .l[]'i-l 'unil ?ul

(luluil !'ln l'lu) LevatorAni 'il -l'-ltll ttiTn .plt ltt I'tu Nril .l.tNit ?iii tlljt0 ltt IlN itl ttur -t'-tutit Ntil l'lUJ ?ul ll'39t1 ?ttt nllljllil N.ilUJ Tendinousarch-n'J'ir'l nuliTiln l'l-u I I T ill ' ulnn 1 ,Pubic Symphysis-l il7 ' nnn liuJii il , Obturator Internus -il -IlJ Obturator Membrane , S1-S2 : I' Itllil Ll.l31l . Coccyx-t: t it D3lJ7 .Iliococcygeus-I Puborectalis ,Pubococcygeus :t'l77Tt itu:I?tx? i7)Inn I'tillil ,'ll'lUUl9 lll'll 0'l'l I llnl ,Pubis-if USIJ qlin !lli7n Il'l'Uil i77fl ,r't lnlljn nulTl !.ul ?N !.Tnil I t.g.i7n I'ttuit '1.! -ttTl
t72rt . iT.nrrnr rnuil n.nr i7'nl l n nN n'9'i7ll E't'0it

.LevatorAni-it ?tx ltunilt )tTlil ,'nTiTit i7?nil - Pubococcygeus

,N

!'7]Jtg tit

)u nP?n , Pubovaginalis Nt iT . ,PerinealBody-it !tR'l't9n ?u 'T'lit Tltn? !'Tn3l'l ,SphincterVaginae n'Nli7l I i7'rll lil 7ul ll'lUl

s?r!',*ili;"Tl#iT"T:.,il]''

.l';tl H'!l l t'lilJil ?u1 ll

T

,r1'T'lil n[Xi7il ?tl] 'Tllnn l77nn U'NYl' l'lUil 'l'D Puborectalis .l ,rurit.unil r'rrrrr t.Tnsrr turil .unn 7u lrnnnil li7?n nH !'9'i7n luJln ilT lrlUl ; AnococcygealLigament ilulSlll n'7lNil il7]Jnil nl ls-Il ,n'7lNit il?unil ulj tm'it runil ?ur rxt9nil tTtiTl tN iln'-Ii7 n't'uit ttiTn ,tsut0l 'tlnNil ,lui7 l'lUl - Iliococcygeus.) , Coccyx-l1 Anococcygeal Lig- r il-Insil I n'T'l n nuiTit Tttt 't'tTtRit i7)niln Nlil
:l)UJ

(I{ypogastric)

InternallliacA,

-l:xn

7u:

ut

nPgux

CommonlliacArtery !"7Nl"ntu ['!]lJ 'lUl7 73llln Aorta !'iTlllJil 'lN Externallliac :il'9lIl .ltii? ltUJ 73gnn Ililn TnN ?l ,'Txnunl 'lll'il ,sacral Promontory?tl illt .tt nNynl nt Tsgnitit . Internallliac-l illlnnn il91? lllul n'?lU? illlg Externallliac iTllUil T'-ll nN iln'll7n il\lnl llN) ullll n'7N'Tn nllg Internallliac iillljn iTllU ?i! lfltN ,Ureter lllttNit lllU 7ltU7 iln'-Ij7n ,Internallliac-il Posterior&'ttnN llut 'n-ii7 clllJ? Tsgnn Ntitt ,n"u 4'l Internallliac .f ")l3u'tt D.)uN.tg t'9llJ? t'9lu nN pln? ?tti7n .AnteriorTrunk

:!"7uN'lg !'9lu E?ll PosteriorTrunk -iln- !'9lui] IliacFossa-7 !'glu lttll Iliolumbar A. ,1 ?Dn GreaterSciaticForamen ltT Ttluit ttTN? Nst' Sup.GlutealA. ,2 Pyriformis - i1 l 'l tll lln? Il'9lu n)tu:'1 Sacrum -it niu '71{ul tllu-LateralSacralA. .3 n')li?!il n7Llnil
:! " )l3u' l !'9l u'l ! " ?uN.l9 u'9 l iJ !il
.Obturator-n Itti7] liTl ltl ,GreaterSciaticForamen ltr
Anterior Trunk-

illl

E'9 ] uil

NJt' ,lt'7 itiig!N llrr -ObturatorA. 1. i tlxrt I I T'N? NYt' -Inferior Gluteal A. 7. IlnI]n . Pyriformis-it I'Itl? ll TN7 llNnn N:t' ,ntNl'tgit 7tl 'ulNtit iTttIlil -InternalPudendalA. ,3 llllJ,Pyriformis l'luJ7 nnnn,GreaterSciaticForamen-il lll I lllJ;l ,Lesser SciaticForamen-it ltT iln' M T tnt Ischiac Spine-7 t'l0n

Parietal Branches

Visceral Branches

lgli'].l llul ilT"7it tnNT ,n'7'Ur7 tl'tuiln nl ?.ttn ttilJt -Umbilical lrlll nlne ''tNtxl l't-ti7it ti77n lN ,MiddleUmbilicalLig.-) . Vas Deferens 7uJ i7t I xit lN tl I t , Sup. Vesical A.-n nN 80%-:r q l n70l ?tx l l ')U i7)n7 I]'i7l t U Sup. Vesical . lnuil lnuil q r n?tlr 7ur l tnnn j7?n? E. i7t ilJ Inf. Vesical .!'Ull,En lTl i7'Illl7 !'iTttll Uterine+VaginalAa. 'lN Rectal n'Nti7l 'tul'i-t '!nil'pttu .ttu'it .Dn7 i7till MiddleRectalA. n90ll n-i Ili7!UN 7tl7n t0l'it .Ilnil .Hemorrhoidal Inferior Mesenteric - il tl I U Superior Rectal - nn .Internal Pudendal A- n q I U Inferior Rectal - ln t
T

!'i7ttu l'l Ilt TtntuulN-E'lltn MiddleRectal-) InferioiMesentericA.-it qlu Superior Rectal iTttxit, l'l .'1 . Internal Iliac it cl I u ,'?ltngn iTttuit '9lu? InternallliacA ?tu !1.7uN',1'9n !'gl]lit l't .2 ,1?Rn[Jitt r]ll'it Internallliac A-n '9llJ l'l .3
_

E'i7ttD rn.olt .ti7nt !'ltun

ltNit 7tu rT'tt

TtiT'l

!'9i7ln llNl E'llNil ,InternalIliacV. Nlil llNn 7ul 'Tllnn Trllil Internallliac )u ntntttit nilul D'T.tt? ntlplnnil nt.J.'tt nll?i7nl umbilical J'tt TtTn) Int. Iliac iTtluit .9lu nN E.tt?n Il.J'rtit .vein l'l n'll I]'ltiliT D'll"i7 .(Inferiorvenacava T'll7 ll'lXl TiTlIlnLlJ .D'I lUlil n"ll'lgil E'll'Nil 7tx !'-T'll;l nllJTPn nlDTiTnn : I it nl'T'l'lil

lul'it 'unil )uJ fl]]7i7nil -Rectal Plexus (lLl7 ilntTl) -RectalPlexus -t VesicalPlexus i7'nlln 7ut !nlil 701 ntxTiinil VaginalPlexus-t UterinePlexus
''

n',

rn

i;"-";l;]',

J-r,ir'J#ll ;Jil:ll ;[XI:

:llll

iltll'Nl

n 9n

'z-l-l-?.1-

.il9n') nttT'9p ?tx itt'utll n(.ltt [Ir llN 7ul E"It.l9it !'tl'Nil nll9ll ultR nttst.ur ,l)N 7ul it9n.?it n I 'lull7) rl T i7 I nn E'l lNiln il9n'7i'l Tttt 'nrizit E.l9it nuuJt ntNtnl - SacralNodes :clllil T\ ?:r nlSlliT :!'i7N. )'Nil U'i7t I Dil ?tU !t] I N7 nlNsnlu il9n'7n lt'l 'ltlliT'l ,Sacrum

Unn ,CommonlliacNodes-? nrljTlnn 2")n ntsttiTiln ilsn'7it rl'liljiT Paraaortic Nodes-!'iTtmit .tN l-ttN7 ilgn.7it nt.ttulT? nTiTlnn n!n'7n . Thoracic Duct-7 I un il I I

Internal & External Iliac Nodes

I I Nl
i7?nilnt !"llTt

Il'Lsu

!'l3lJn rnlnl l.lN7 n'f.su lllTguN !"71i7! l")t'!u t'7\gtn t'71'5!n !'13uil .n'nlllulNil ilflljnil 7u '?ll7ui] ltnt ..ttINt 'nTi7 utnlT !1li7u 7tu ll?xlli-l
nN t'i79!n !il ;sacralHiatus ll-I u"].lTl 55 ,SacralForamina .l'1 TNI llUl ErectorSpinae illltXil TlnU ?U !"-lllNn
S1-4

['l'ltuil

Posterior

llT !'N3l'

S1-4

E'13! 7t! PosteriorRami n'lllIlNn il'glUn

D'l:lj ?tit AnteriorRami !'.nTi7il u'q:un !n ;SacralHiatus lll !'Nsll !"llT !'l3lJl 55 lsU,SacralForamina SacralPlexus-i] n'7Nli7uil flu7i7nil nN rl'lsl ' , Coccygeal Plexus n.ll Tit nx)i7nil nN D't3l I !"tl Til E'lJUill s5 lsu
Anterior ltT u'Nil'

T) nNsn I nx7 pnil . L4-S4 r'lJlr Tttt Anterior Rami-nn t 3 t I Sacral Plexus !"917.l ElNl'tg ,l)N7 !'glu nlnl I nlJ?i7nrl ,Piriformis l"-ltll 'lg 'Tlri7 l ]lJ? ?sgnn L4-S4 r'lil-lit '?tr Anterior Rami-nn ?) , n l l l lllnn ,ilnNnill nu?i7nil ?ut PosteriortH AnteriorDivision-? !'nllnu 'llnNl
:Ill I lllilll fl..9)> Il'9lll 'luln lfttn ,ltlt 711)it lsllil L4-S3 (Ischiacus) SciaticN, (1) Post. Division-ln Common Peroneal N. - n I Ant. Division-llil Tibial N . :Il'lSlJ T I llJil 'l'ltl:7 Q) , Post. Division - ilil L4-S1 Superior Gluteal N. (3 ) - iln L5-S2 Inferior Gluteal N. . I I lu? Post. Division
Ant. Division - itll L5-S2 N. to Obturator Internus . (4 ) Ant. Division - iltt L4-S1 N. to Quadratus Femoris (5 ) I ' I ul? Post. Division S1-S2 N. To Piriformis ( 6 ) ttUT Post.Division S1-S3 Post.FemoralCutaneus Q)

lt'n

I'ltll? - il -l ' I tLl? (S4 ) Sphincter Ani Externus . nlRl'tgit ?ur'-ti7'1rit l31]n (S2-4) PudendalN,- il lsu n'lSUn

AnteriorDivision-ltu !)ll llNl rlgl (S3-4) LevatorAni- il

I.lN7 !'l\u

(1) (2) (3)

.GreaterSciaticForamen ITT !'NYl' I lNil nN n'lTllJtll E'lsllil ;Niln Il'NSl'tU'lnN,Obturatorlnternus l'ltl17 lSlJl InternalPudendal I

.Lesser SciaticForamen

lll

llUl !'li lTll IschiacSpine-il l'10 iJ'lllnun

Rtit .S4-nn nnttn nu 55 -t Coccygeall !'tiuiln till -CoccygealPlexus nuluil '9? Txl Coccyx-n il3i7 l'lul llTNl lluT ili79!R lrlll
L1i77niln ttfll !tNl.t9t llNt E.ttNit 7ui 'nll'lulNil lllS'uil illtun ?ul .)tiTuit j7?nilt ,t.ut5n.uit rtultulit 7nr'?liTuill 'llnl?il nlNl'-l5t I lNl u.'?l3u'lil t.llNnn !"nultlnn !'lsuil ,n'ur!n'ul9 ilntltutN itttunil Tu Iluttsn ilN3tit) .u"nu3n'019 !'Llu? [''ll?rn . (nlllrn llul lrNl

Il'.7t3il'' I tit il'ttRitt

:II

lRil

77n

Nil )7n 7Ul E. 'n' Igil n'l I gTit lnun n'lltDn nt TiTlnn t.7NUl (Cloaca) .l:tln t.tiln ntlnn llNit lunnr .ilftnil nu)91 nTtDgit lntrxn nng ltT tl'lnn1 ,2tl.lJnt 'n-ri7n t)nil l'l nillgnrlJ MesodermalSeptum n')nt-It In ilJ.nn tnngfin It!' 'un) iltsnnu .ttnNil i7?nilt ,ltUjit qtn)tlj7 nrsnnul ,tpJt,' .l'nn .ttN il.nngnn n.TNntTt inil il3'nnil I tnl .n')lN nTun?t
, lul.il )?n ngsl !l Nlil[] I lNit )) nN lst'01 Peritoneum-it N'it ittiTnit 2)) nltnt lu:nnnr r[!'n ']lnil 7u 'nrjzil nuuliln trtll Dtxrtn't9it tlTl

,RectovesicularPouch-n NtjTl !.11.'Rit 'lul l.l uiTtuit ,lnulil u't 'll Dnlilnl Dnlil ?N IUJ'il 'ljnil ?u 'nri7n nuuiln tlill utRl tn.tgit ittiTll ,')ul tt9 ttunt nttnt il\.nn tJt. Ntit , lnuil n'nt9?Ul? lunnn IlllJl\Tlil ,Unlil nN ilUln0l ,BroadLigament nl.nln ilUl\-1il nNliTltlJ :E'1JI7UJ .lUl tSt' !tNltU.t9 ittiTll .nt)nuil'l ilI . !nlill lU'n 'Unn I'l Douglas ilj"lJ Rectouterine Pouch-il xiTtX;] . N t'TiTlnn il-I.n!l ll7'l ittiTlt utN.ltn.tgn ??lr tnt-t ltntn !tjTnit , '7N' I I n't git, ??nr I]'t luynu E'7I I I it I '?N ltuti't n'nt9)ur7 until l.t UterovesicularPouch-n xjTujit .l n.?uN.t9il it.\!91 it0tln N.itt ,l.tNit nsDtun il.'t tl itgjJlit .l.tNit n9Irt! 7r! .7-'lu)it i77niln !'.tll. il'71u7il ntt'i7it ,Coccyx-it't Sacrurn-it nlnJijn r I lt .llnNi"l I'i7il

(n'tt'tuut9 !i7tnn) tul' 'l,lt - ,.,.r#ffi itl9'tiu ,E.ll9tUJ ,lnuil qtnTtll (n'tt.tulN !.nptnn) lnu .ltr .l :(llltxil .tlN? tul.il .l]nil l'l u.nptrn) E"It.1gil l.nil .llN .) urTir n,.nrs?rxr ;ll:'Hl',i]li']X' ;T;ili

-r'i'

;ii]fil5i]

llNl lnulil..'llR
(n'nt gTut t p u.t) rltn?u: 7UJ IrgrJt0it .1.) 7D nl tnt ,Pubis-n E3u .ttnNn NSnl qtnTulit ,!ti7'n Retropubic-il NliTl ln0lit qln7Ut Pubis-ft ntn\U l't nt'ltnil .ltNn .1ln7uil nttntnil t0J9Nn n'l ttnil ,n.ln'lu n.ttt.n ilni7t ?.1n1 Space 27t> it?tx N'tit ,NTnnnul .l)Rt tTtf Nsltl i?.tit qtnTuit'tltlnl qln?ujit n-T.71 .'tttuit itttlT ru urlit) ?tl'!'.ltsl7 !'tnlt lutit , luln ?)nt Rsnr trrrrr lrrNn 11ll'i7 xttN nl illt9it itT.nt.9 fntS i7'tfl 1tn7u7 ..lt3n illln I'i7il,!lN' l ln'19 i'lutlnul l t'?uit t.i7it .E'Jti7lt7 ituttNt Il.UJ?tujn .Er'?-lu? ntt.i7 .ltllt (Fundus tN Base !'01 !l NtjTl ) .ttltNit ;PubicSymphysis-ir rl.l }u u.tnnl qtn?ulit 7uJ D..n-Ii7it E'.?tujit cll lil NliT I lNlsil )xn i77nilt n.nt 9)urir tRt y RtiTt I ttnnn ilJi7it . :lllJ ntNtT tuigN E'Tri7Ttj7iln TnN 7ll -il )tx -I'lUlil Nlililr MedianumbilicalLigament NJt. .n1ilil TtiTltiTiln ; ' 'l l'l U il Urachus .II'lf Sttuit E.Nsnl E. -1tnNil n.lti7-Ittil .tltNn .illSltuat nN\t' r-ntsTrJit tNttJ Rtitrr ltnrnil l'li7Ttl7iln
UrinarvBladder (Vesicle)-lnun

:Il"JllulN Il'!n' .lTttlt cltl -ftul'Nl ;17-Iat 'rnil ntN)t? ntNynl n'tt'l!lu l'i7? Et-lln\ llT]' ;tlllll lNl'l\l j7'Illlil R\nl nljTll- n'l'lUillS ,VasDeferens 7ul it7I9nRilI SeminalYesicles-it lnuil IIn7uil 7[J .tITtNit .lul'il 'unil NSnl lit'-t tnNnt Obturator-t LevatorAni l'l''tull itutfn Pubis-it nup nNsnt - fi.)tU) nniTl ?'ln RetropubicSpace-il ltn7u?Pubis-it l.t ntttnil ,Internus .qlnTulit 7tx t.T.ttit nlj7i7nil nNsnl illtnlt (RetropubicFatPad) lntul nRSnln t.ltntuil nut7t7 tttnn ltit)uln tNttS tlTl - n'tt't9l.N l.1Nil flgljlu 7x nl't'ur. tl tn qttTtuit tNtS ittiTlt ;t'ttl]Tl ,lul'n .un? ,Pubis-7 ntu'lJt tcun .T. >D lltti?n ltn?uit tNt t3 .ittiTrl !ttit tNt 137 tN tlTt n.I tntu)'t
:'Il'19 illlll !'?9i7L u'lrnLn rl.l'll ,n.l'l N'i-l cllfl?ulil ?ttt rJl.lgil .l!Ji-l '11 Trigone tr7'lujn ttTN nNtl ltn?ulit 7ul t.ttnNil l9t-Il. .Er.]Tilt il?un7 E.llgtUJit 'Tt|g .lut :Dit lt.t.tuit '-Tti7Tti7 ,ilp?n n.t.tit . ilun? illg tujit ?rx -n.I9il tn9ilt

:''n'

.sphinctervesicae-

Trigone-il llINt iltUn ,Submucosa-I't't-Ft .2 ll [r'[] ,1771]| I'ltll-Detrusor NliTt qtnTulit l.tuJ .n.t.tutit ittltxit .3

",'*1.,11'lHi-' :'
1

ll

RtiTl ,itttun t"tulfl cl'tt)txit tNttSt ,t.t7u3n !.f..u ,f tnln qtnTujil nN n93n n'uttl'5it ilguxnil .4

!'gllJ El !lU' illiTll ;Internallliac Sup.&Inf. u.'T'tt7 nTiiltn ilt.ullj n"J.tt nlj?i7n :.J.tt Ttl/.1 !ltll' cltt?un 7u tu?j7n7 tllt ,Int. Iliac - -I.ttt? t.tTiTlnnu ,Vesical , n' I l nluit nu t 7t ?tx t. J't I it nu7pnil !u t. t I Tit n. tuliT ;Ext.IliacNodes-7 n. IjTlrn l.TT'\t I. I t.?lJit lTTItit :'ngll'7 Ttj7' l .CommonIliac- 1 SacralNodes-) tRtsit Ext. & InternallliacNodes-7 u'utn 'nUlnnil ll lS'11i1 : (Prostatic Plexus llTl) Vesical Plexus-ilu -l.l l.3lj ,Detrusor-) .uugn.utg .ttutnil I'ltyurt,S2-4 tttiTn0J !.gllln (tui7 l.9D) rltt?txit tltu)t E-Iit .?f? .uu9n'u Ltl.y.ut
.VaginalA.-11

Il' 9l]n0nul n' 5 llJ 2-3 ilTN 71) ll-Ittx-Superior VesicalAa, :!T ni79UN i71'llJ ?ix lllJ Nlitul -Inferior VesicalA. ;UmbilicalA. 7rx iltneil i7?riln

Ureters-

E'll9ltllil

'71iln tnu: !'?.ltnil ,Ti ?lt -InN ,!..t.tul tttt l.J !i-t Ti?nil llrN lrxNf ,n'v 25 Rtit ltstUit lttN ?:n lut .lnuril cjrn?ul I[]Nl Il'Ttt. t.llgtUlit llN? itil'lt tnNT ,n"u 12- Rtit l_1Rl NSnlul itlrrl .Int.IliacA.-7 nn.Ti7 u.tttu ,l.tNit ?UJ .7tu7it 1.i77 D.TtnJ Dit Uil , lr]txil clll?tlj ?U Fundus-7 !'lJ'lnt n.7R.:in !.I t9 IschialSpine-ir !'llr9l I I !tln I tnt n"u 2t ltul?Nt !.31n , qtnTulit l9tT7 u.ulll ?N
n'l

!'

I sI

rr'

ill;, li';iJH';l ;I'Til;-i,'#",';i,:;.'J-,i' J l l;JX;

Testicular (Ovarian),Inferior Vesical E' i7l

tuiln : nT liP!!N :ttt3u 'llN) n'ltiTtn llNl i7?nnn n'lNt,L1-3 ttTN.!7-'ttul! pln? Vagus-i-l l\U :'UUg]t'!tg lStT .l.tUJ?-.ttUtn .!"ltY'fl l'n ,lJNt l>t17 D'?Nti7u u't\lt ,'lulil
10

Urethra-i]l91Ul
nN ilJtn .i7'ntl? iln.TP ntltlJ N.it ,n"u 4 itlgtUit lttN-iltuNl , i7'nl I il nn5? iln'-Ti7 (vulva) nt st nntg I I t.7HU. I I t-t I Nit nsDluil . (Clitoris) I llll? r'l I'luo'l9l ?tx 'gtun t'l l'sil N-it ittgtturl tlll InternalUrethralMeatus 'n'tgit ntsl il7'nnn iltgt[]it ,n"U 20 -l irlt'tN 'Il3'nn -'l Ing? TrJ I'9it Ilnt nl0lnnnI Itiun 1rnTtlj tNtt3 ilsi7l Nsnrit rnljlu 'lul it?.fn 1n.lgit nn5il ttINt l9tTil .l'git ?tu itsiTt NSnluJ ' I l3'.],' I ts'n,qu1 I tlt0 .' I ts-t N),'It' l9 sphincter-ll'lu,i7Tn nlu'l)l ntltt'\t itlt'il nlt't l'3 .t'7u.1.1 tt'tNit ngljtul NSnl .itlgtUJ? Il.rngl u'tTit .7Itt ntlJ"Illl

.ulTil 'ltr

?un ln{Jit 'ltl

:!'t7n 3-) niTTlnn llll

'l

illglun

')Ntil Prostaticsinus tl'lJlTul o.N3nl ultit .Jf 'l0ln .n"n 15-: llllN0J nNtl ultn Ttlnl .itutTtit ?tx ittlngitft ntttl'l 7u: !.nn9 20-t !'nn5l illrlu l'l l'3? 7'llnn nng ilTllnll Colliculus Seminalis ul Iil n'ullujll
.

lnlil i7?nn ilIl n"U 3 llllR ProstaticUrethra n'l'lnluil nl!ltll .1 urethralCrest ult nRtl n'ttnRil lgtTt !.lgln .nt9t0lit )uJ 'uu?Nill

t)'n ELU 2u 'tltlt ttl'yit 7uJ T'tut ,n"n 6-: itlttNtjl l'i7aD- Utricle ("'llTil lnlrl") E"liTlil l'Ilil 'l]'N U'nngnn l lnnU MullerianDucts .EjaculatoryDucts illl'il nllll': 'nn9 U'NSnl Utricle-il nng T'?

IlglJlUil llnlU XUiTil Nlil MembranousUrethra Il'nlljTil nlgltIil ,2 tt-ltN . (.I ly.nil nllgiln ytn) tnt.t tjit i77nrt titLn.7u'lltttNi't ll lu l.tutl cliTtn ,i.git Utt0J -IlJ t" I tntljit Ttnn lunnn ,n"u l-2 'Jl 'l0ln ,ngulUn llnl ,'l'lJl l'lU ,SphincterUrethra illgltlJil Bulbourethral Glands ntut?lit nt NJn I illgltxil

!l N-li7l ,l'9 ltnl tluJUJ i77nn- Penileurethra r.i'?'l9ir irlglturl .3 6 illUl Q n" 0 15 illl I N . Cavernous (Spongy) Urethra - n'l l9U;l lllgltllil iTTnL ntlntnilt ,l.9it ujttull .7n'ui7tt9it i77nt nttttnil ilt [lJ' ,n"n 'll3'nn lll9? ,'ll3'Ilil nll9n '19? NavicularFossa nNli?ltx '7NUU''Til
Lacuna

n'r'rr u' crur rr .nr'r r.r'l;l,9rtilltlSnf;lt"Xtl;riilti?l']H

:

NllTl t'??nlul ?tllil ,nlgtUl? ['nn9 I]u Lacunae !'??n lgun Il'nug)t NavicularFossa 70.1 l'l ')Uit 'nTi7n t'i7t N\nl N'l il ,Magna , 'l l. lJiTfll lu l Sil , l l u l '3 l)iln l
l'l lSlJ ;PudendalN. :'ll!lU (lUi7l'9Il) lrlUT'UUgIl'U ; l9'lTil 'l'-ltil?'uu9n'019 :'lluln Pudendal N. )ttt cl I u , Perineal N. ;'ll' l!i-l nnsl' l l3'l-'n?lil lJ'lu) . n'7u' I l tt:lN n9!tut 'll\lil
Prostatic Part Membranous Part Penile Part
fli790N Inf. Vesical & Middle Rectal - A. Of Bulb Of Penis -Deep & Dorsal Aa. Of Penis

:ET

l1

rl '' 7 I Rit

il?unil

I tul'il

l unit

Rectum-lill'il 'lJIl 7tn Trnnn ,nljtuit '91 r.N'ln.t.!it l.t Nsnlil !.tn .Dnit ?tx i??nil Ntn n3r7 lln\l Ttt' ,l'tnl.u7 ltjtnill ,Sacrum-it TilJ I ttlJN]it i7?nit lI1l Nlnl r'7lNlt il?unil EIJ rxlgnn ,l.tNit Il9\t llJ lunl I Sacrum-il I i7?Ilill rntnn Rtn lrNit ngtt 7ln .15cm-l llttN .llNit Il5utu . Ampulla Nl i7 I lll I I n n

nllsT ENnilt A-P ttulnt ilntjTlJ 'rt ur' .trr]' tll.N Ntit 'lnuj nttn? nRTl "s" ntNil nttst n't.?tu) n'l.ls ult)tx lluJ. rlutltl !ttTuil l7N u'?9i7 .'unil 7uJ n.lt.l9n lgtTl !'7917 ?rx !ntNsn.il ??ll ,Transverserectalfolds Il'NlPr,]g]l ll!il_?g_77nil I 1n) nn' le r'rJ7ll TNnUt l\l !"l0Jl I'Il' lYl TtN 79i7 Ull ltNt tu'-tgil iln'Ti7n tntN ilutn iltNl tri.tgit .')Nl tu'tgttut ttN Ntit ntuiitit ,ErNrtu:19? nnnn nNSnr il?r9nNil ,lr.?u i7)rr i7r !rlTSlr ittx ' T 'nUlU l'lUl :ltll'il 'Ullil ?lU l9l.Til 'l'lUJ , n'n ' l 9 it ntlul .n'llnNl n'nTj7 :IlllllSl 'nul l\l'ul ,n'ltf 'Tlil ittltxl 'lllN l'lul ,n.7ui7t itiT'Ttt !. llnit nN uJUn? lnl 1l ,I]'ll[]l E"1l'lulN !'IlTl'
;i7'rlllill unlil tNlll ,!?llT tr"ll iTun -iluNl :illl'-Ii7ll tut?l ,lnuil qtnTu 7tx u'ut ,RectovesicularPouch-il -llll ,UlTll nll'l l'3.l SeminalYesicles-il nlUlTl ,n'llnluil .IschiorectalFossa-il ngxlu) n'?lU)l l.l'Nil rlSUlE - -I3 ?ln
,sacrum -

lllNn

nglJlul RJnl t'?lltit il7xn? tu'it 'unil l'l UJtgnl -AnorectalJunction .n'lllriN itl lg n.?lNit n)unilu lnNn iltul' n't t T l3l' UJl9nil .l.1Nil .Levatorani ?ru i77It N'lilUJ ,Puborectalis-f] l'ltll nN?'I2'"D iTIIlln uJignil
IlNSn

) .21I'Uit ttl's ?tx 'gtuit P?nil N'it -Analcanal n'7lNil ilTrnil nngil -II llNit n93tn nturnnn .n"u 2.5-3.5 itlttN ,nlNl'l9l il?lf .n'l'-lul,nllJ il7Dnil lgll .nUlilil'!-Anus'll3'n;l ,nllnt

?llit Ul't ,!1tt TN ilut?txt ft'l.nLn n.)lNit it?lllil ?)nl :t7N It'tt IN )Ul n't3ljt n'nl ili79uNl -ll l'3n t?U .tltlrit ttiTnilu - lt'?ljil i7?nil ,N ; ('TnlTlTlN) 7ll'ljil ;llln llTN - 'lJ\nN i77il ,l ('7nl-ilui7N) ttuiln I ?Uil llt uit I r iTnnur - I lnnnn i77nil . )

ltnt .n't'-tt itgt3n n'n'tgit lslril :'Il'19 illlll '7gP lnu AnalColumns It-ilnu 5-10 - I n'l'ntn tluiTli-l ?tx l'l '7uil fl'l'l srp. l'ttt iTttu TtLt '!t! cl "uu Nynl ilTiltu 7tt ,l"lllN -AnalValves"'U llnnnil nYjTl nllllnn nlTlnUl ,Rectal Jl'l'l '?gj7 .PectinateLine Nl j7 l Valves-il 'T' >)) -'l3l lil liTn .nl' 'fll nllSl l1]J ntut?t nt'?lR rltutTt tl.tu.t ,t'1lJ Nt;t ltnnnil i7?nl '-l5\ll (lnu trutTlr itu.r ntut?t) nlTTlln
i77nl n'l'1il

t2

:n'?lNn il?unn 'l'lllj ilil n'n'lgil l!lll !'l'-lulil ,1 :!.i7?Tt !'l'lill ,!luiTlil ?tti 'lllNlt I'lul llj !"lunn - 'lllNil l'lulil 'l'u .N ;IllJluil '9? l'lun llul !'Tn3l .t.u - CorrugatorCutisAni nutuit ttll uniTn l'ltll .L i7?t t.tuJ t'ltn !.l.ti7nu r.?lNi-t il?xnil ?u l9t-rl 't-t'tRit l'lilj? !"lulnil .ttx?t r'-illl-nnil ilni7l7 t'-Tn\l I |lJluil '9 ?tx nn9) TtX.ttyt NTil .Tl .lgit tltUit nN lYl' ,TlNn illlj -'nlluil -l'ltljil ,) 19 :'UnllllU 'lll 'T' 2y ylllnn .SphincterAnilnternus nxluil ?ttt .I titit tl tuit Nt n ,sphincterAniExternus -'l l3'rlil l.l luil .2 i7?n 1l UJI .it)!tit nN Yllln q.i7nil'nUl.U l'-ltlj lilT .n'7lNi] il?Urln .'nuu i7?Il'l Plnx .(PudendalN, )ttl 11:l) InferiorRectalN.- llllll :!Til niTqUN (Hemorrhoidal) A. .l I T ( ,Inferior A. ?tLl !'I I ll Superior Rectal .n.7tHn il?xnil )tlj lt.TlJn ili77fn tUJ'it 'lrnil nN !'i79un Mesenteric Internallliac )tu E.glu Middle Rectal (Hemorrhoidal) Aa. u'lTlllJ lli (2 il?xlln 7u l'l ')lJil iliTTnl tluPln 7in I lnnnil l?7n nN tr'790nA. .t'7lNn Inf.Rectal (Hemorrhoidal) 0'i7ll1l .llT (3 Internal -it iTttu ?u !rgl!
1

r.i7.il nN peun ,ilu'ilNN ?in

qru

,r'r'

ol]rr.r..1iin.i.J"1tir,!3

:'T'll TliTl .HemorrhoidalPlexus flN-liTltx IlU??n u'lY'l ' Il'T'llil .n'?lNn il?xnil .J.tt 7tx (nt. ttttnil) tt'?-I uit Hemorrhoids-!'lliluil n'TiTlrn ,nt.?lNit ntrtnxil ltnt Il'T'ttit PectinateLine-il )un ,N ; (!l1n'19 Il'llnu n'llln lNl Ill'7-I) Superior RectalV.-? !.ttnu,InferiorRectalV. -? t' IiTltn u'T'tlil PectinateLine-7 nnnn .l l'Nli7l lNl .(E"llyn illlXnn l'l llUn lUiT !'lJl' 7"lil IllJ.lln l'l nlTlnlUUlN .n'7.l liTn illlun7 n'7ull9il

: 'ngll") TliT'l -? D'lui7lil )tx ll'?u i77nn Inf.MesentericNodes Ext. & Internal Iliac l{odes -2 ! I ui7l 7tx I lnrln i77rn Sacral , InternallliacNodes -7 n'?lR n?l;n 7ttJ ll'7lJ i77nn Superficial Inguinal Nodes -? n'? I N il?l;n ?ul I I nnn i7?nn
(PudendalN. ?uJ tl llJ) InferiorRectalN,- 'l'lsln
: ll l3U :'llUln luiTl'9u)

'uue.'ure n'?r-r':i;;:,
(ilillll

o',r';'

];;r-l!tloTlf:;;

( PelvicsplanchnicNn,) 'uu!n'!l!nlul'Jl ,'Unl!) Inferior Rectall,l.

13

PectinateLine '? ?un PectinateLine '? nnnn

Il

"llT

Il ..11

'lg

:l

'll .llN
Illl l'\
:!.)7'11
Ttlt
T

Vas(Ductus)Deferens-rlTil

'l?!i] iTTIlil il n I' n I g?ul EjaculatoryDucts-ill I' ril I I I'J Prostate-I' I I nllJil flU I 7l
Seminal Vesicles - lJl

il l'l I' 3 - Ductus (Yas\ Deterens ?U ?7tlit lttNit .ltxN ?fn -TnN ,utT Il.?.ttn ,!"1'tur nttt l'Y ll 'ri7?rt !'t[]Nir i7i! lrnl ,!tNr.tgt Rsnr ri7?n ,n"u 50-60 utTil ll l'3 ttl'3 ?rx lunill ,Epididimis-tr 7u llTn ?.rnn utln ttr'3 ,llNl ulll .SpermaticCord utlit 7tn lttt ''t\n !'lUtNit iTtxt .u'u'-f 'T'9Nil D'lnt ljRn ?u'?tu?it f iTt ttilJ,n')l'!t.tl'Nit ilTutn lll llNT tttnnt ureter -n nN iln'Ti7n ilstn ,ltulit n'n'l 97ul ?t! 'llnNil l'i7? ttl'sil .SeminalVesicle TlLt ttl'sit tlJ llnfln il?l9nN? rnrn ,Ampula-? NliTl lnlUnil EjaculatoryDuct illl'il lll'3 ll ni79uN t"l) il1l?n llllN 2)? ;Superior VesicalA, )tf qllJ ,A.OfYasDeferens .TesticularA.-nn ili7euR ?rf! ulIil 7ln llnL .!'iTllljil 'luJ l'l nlllnluulN uJ' Il'i7llll7 7'lPn-'T'll TljTl ,Ext. Iliac Ill' -lix177 -'rlgn'7 T ltl
Ul
T
T

;UlIil 1l l3 Ill lg-tl n.i77ll n.l.lul?-u.'uugn'u !"lluln

.InferiorHypogastric Plexus-Il u'q

IU-

; nuu

gnit ,

lt

TR?

Il'ltiTln !'lNlil

-Ll,Lz fl"l'l0lu

ll lSlJ !'L'u !'l'u

(nl9r?luJn ntulTl) ulTil rl'nl97ilj

-SeminalVesicles

ltl'3n nt'tll nl'i7ul'Ilul '?it?x l'nu Tttt ntut'tgnut,7tt9n't'tll] 10-15 tnJlJ ttl.\it lttN ,n"D 5-: lltlN .utTit ngrn 60"h-t ;llli'lnil ?ru 'ttnNn I'i7t ntniTtnn lJtTit tt'ntg?t! ,2'n'1.5-3 ni't ,n"u ittliuL ntgtull lit .lJtTit tt l'3 ?tx itTtgnR) n'7lu? ,lnuil I'nlg)tll n'nt9?rx ?r! ltttnn ilsi7iln .!'iNl"lu't9t Ill ll')lJ i77lll nlu il'39 .EjaculatoryDuct -2 xllil lll'\ il3i7 !X l]nllnu l'l l'3 NJI' xlTil lIlTl .ttl'3n '7tr'9 ?2)),nt't tt 'tnT ilNtn ljlIil fl'nl97tll? lrlll nl'il.l9?t1l lglTl Il'i7?nil !'l'l[]il ,'uu9n'! 'lll nxStllnl ,ill'9lll .EjaculatoryDuct-) Ulll I lllnl U'll llnn
.

Inf. Vesical ,Middle Rectal A&V. -! T

n7
T

I0 N

.IntlliacNodes-? il9n'7il

li7' l

.i"nt'n ntt'l l'\

EiaculatorvDucts
T

,xtIn n'nt97t1l tt l'\'t lJtTit -lll'J ' tn'Nn t'l3ll0l nll'l l'3 .l'l n'I tnruil nutTt Tttt 't I nRil 177nil ltl t'trtf] ,n"! 2.5 tlllN ,nl9ltljl u'nll!ll
t4

fl' l'l1ll1l FlUl?l -Prostate '?i77N ?tt: t-t\"lt N'it .l lnlx nnllSll il?ll.ll ill'lTnil ilul?l ?rX l stliln ntnlnn n.I tntuil IlUl?l .UlIil '?T I ln 30'h-S ill lilnil .i-llgltxil ?Ul lltxNln p?nil nN n9'i7n ,lnun 11'nlsTtr lNllJ , lnUJil n'n19)tl: lNl'l\7 nnln,PubicSyrnphysis'lllRn nN3nl NSnl ,tnttn lt'?ljil ii)fiit ,l lNil nglll0 7ll ll ln .13 I lnnnil ili77il nguun nN tttttn -I3 ?ll ll.3!il IlllJlJl 'nU ,lnUil n'nl S2U7 nnnT] ,Medial & Lateral Puboprostatic Ligaments- il :U'll gil !sLl? ilU I ?lil ,0'll !il E3u7 n'I lnlllil nN n'l1] liTnl )-rrl nlllU ilul?lil !'llliln illl.l TlnNl .2cm'LllJ ,3cm ll'l N,4cm lll'11 i]lgluln 7y f lIl)7 il?ll' ilul?l.n flTTlil .50 2') ?Un il'sllulg'il .lllT lLxnl ilulgill lnun nl'slj N ,lntllil nTuill Ill9'ln? El-1.17.l ?l9U tlllTl ll-l? l.lul n.ilnlljil lUlU ,'llll'l 70 7.) ?Xn I].tlll
'1

.30% 7Dn

fl'u l ?l ilnPl 'l i77n l 'ltlj ,Il'l l rn rlltt l.J 30-l r'lJ n. TiTt lnu E'glJtun nttt l'Yn il'l ll il'ul?lil nnjilfl . Prostatic Sinus-it illtllg l tljl Ullil '-Tsn Il nng I ul , JJ ?ll nTlDSiTl ilglUU R'il flnln ngUlJn flRSnl rt7 n.nUUll il?Tn n'Ulll'9 .itut7tn"70t rl'J.-ttit tU?i7nil rlNinl nlgUUnT il?lUgiTil l'ltljl ,il'\9 iltt.n ntttl-.it ,iln'li7 uxn ,uinRil tiTt ilulTlil nN nllllJ ill9lulll
':
;

1ll'19 illln ilni7-ln il' l r r

.ilul?l.n ?u 'llnNn ili77I1l E'l-TlTl

inl I lN ulnn? niTTlrn n'I ln-lljil nulTl ill9l ul) iln'li7 nNin I Anterior Lobe rl'nTPil il I I Nil ' R ;illSltljil 'Tsn n1'?1u7 nlllN 'iltr ''l .iUJ'l rllglUJil "'lJ IlnlnlU MedianLobe - Il'llJnR illlN .l ittgt[]il .llfiRn ,n.lJSnNil nllN?
.
,

nllllS

-l Ej aculatory - il I ' il nnlln Posterior Lobe .T

Sup & Middle Rectal A.

I Inf.VesicalA.-n !'9lu

.!T

ni79!N

..InternalIliacV-7 Itlnnul ProstaticPlexus OfVeins nlJ?i7n?'T'l'l T li7' l lnulit n.nt97ul ?rx nt'J.-t'lit nuJTpnil !u D'l't u'lu;i7 uJl lT nu?i7n7 'J'ttit TtiT.lil !D !.tuj7 - itltTt ,vertebralPlexus-Il'7.lnil Tlnu )ul ntttt.til ntuusnil ?U t.RlnR'l?.R !'ltlJiT ,nlnill illTu:il Uln ?UJ

,nlnl illrulil uln ,rl'?ln)

.

n'l lnluil xul?ln rl'luluil ngn'7il

T

Sacral-t Internal Iliac Nodes-?

I i7' l

l5

iliu''Nil 7ul n''''n.lgil I'nil 'llN

iTrnttl lnl ,nl13lsTt ,nlTttx :l.1Nl !'N3nlil 0..11'19 l.n .llN Ovaries - n I ?nulit
rN rlgullJtlj BroadLigament-nLlllil ilu'l3lil 'J' 7! ntgtUUUl ttUtTt ltT nttsttnil ?u rlu.Lit nt9il'T') n't NSnl ,I]ntit
,-Ill'l I llgN ,n"n 9 .ttr ,lt"u 2 tntt ,n"0 4 lrtH .

ur

2-3.5

Ul\ !.-Tnn
?i7ujn

:!'l"9NTlil

l9t-rtul xiTult - !ti7'n llnNn llgltxl ,Int.&Ext.Iliac nTn'7lt it'J'3't0tn nTtttuJ Fossa ,lt.tnil lnTt itlruln n)nrun ?u ntiT-nil .iln.Ti7n tttuit ?rx y'ttutt :.nflt lutlTtt 'ntstJn tutiTt !'l.nLn il)null itul\lit.J'7u lltun Ntil.ittJ'13nil lsuln l.) NSnl-.fn\13nil tutjTit ilU I 3l il I I nl nNin I UJ Suspensory Ligament of Ovary il?nUlit ?Ur il? I nit ?ir '?lu?il r l17? ills'lsniln nlulnnnl BroadLigament illtnt nrnrit !.'r?nuil !lit .7t r].Rtnl ilttnt , llNit .nnt tutiTit il?nujl] nutSt .J' ?D lltun Ntit ,tn'l ' lJ itT tutii 'lnl lll!tlJ Ovarian Ligament 't tnRn !nt7 ttttnt iltntn ilx13tit I luul ,i77n t.tUJ '1..u UJl il?nuil txtS-] ltnl ,ilt3tsftit nu'lt ntiTn tl'lulnil lnuJ EIR'ltu'19 rltltiu .nun rl I I - Mesovarium il?nUJil }]3ll ?'lu1 nttti-t il.ltJtn 7u'ttnNil itTl;it nN ill ttu !tN'I tu'1gil nllul? il?nuil IlN !'i7gunu !T . ?f
ovarian il?nuln 7u nnt ln NtiTltx I lNit 7u n.lJ:

I'l Mesosalpinx nl3'13nil lJSnl Nsnl Epoophoron lttgtN- ,Ln ,'1 2D nnN n'tt l'\? nt TiTlnnuj ntt3i7 nt't'l l.Jn . t ll , nt3'lsfliil it)tuit . Gartners Duct I I Ul Mll ilUlsll E'NinlU nl'lll'3 'l'ltlJll 'lll Paraopheron lll9lN-illgil ,2 lllgllinil nltun 7u E'-I'tUJ7 l'.uJ itT illtn tt .!nt? tltT illntit .(fl'lf T nllUn) WolfianDuct clTtI Dul >J) IIi'Jit ?Ut Mesonephron
1

n'tlTil n'lttuit ltltunil ?u !'T'lUl

:Il'lTllll UT IljT9UN .ll U (Ovarian A. ) ilTnUlit i7l I U , . Aorta !'i71 I Uil 'lR ?in (Int.IliacA. ) '1UU-l t9'nil iTttxiln qru (UterineA,) !n-1it 171ilr ,2
IlTiTlrllltu PampiniformPlexus |NtiTlul n'T'tt I nu7i7n : .l.tt I Tli7' l 1.1'1? TtiTnn "ln'il il?nuJil T.tt .it?nuil -T'tt? -ltT I tntnil ttllit '7Nnllit it. ?lit J't 't t 7 T i7I nn 'TNnulit il?nun r. t I Inferior ,Vena Cava

nllun? !'?'li7n ilgn'7n n1ltl.3 :,u9n') Ili?'l .LateralParaaorticNodes itutlNNil l') il9n'? t1't[]177 U' TiTlllnl nx?7nilnt Il'tuutl t9';-1il nu?i7niln u..Ttt I tutN l'lsun$ffi

Il'T'llln

16

ntrStfnil
Fallopian Tubes

nol 2v iil-t3tsnil Oviduct - it?Ttrl]it ttl'j UterineTube - lnlil lll'J

ul'5.l7!

:!.5utl

ntnul

Salpinx

j7I

'9?!

7H

ntNlilt.tgit ?tx ?t I' i7 N I iltlJ Mesosalpinx .lt I 'sit 7tx n I I siTit ' I ull !. tilg ' I tll ill\ l SIl? : Il'Tlllg Dntn 22n titT nn9luJ .nrt nn9 .1 .?R.ltu.lgit ?7nn I it) n uit T'? ltItT nnglul 'tut nnq .2 : !'lJUiTIl 4'2 Ili77 I iln ill3l 3ni] I ilSi7l.Ul !filil I 9l -ll Nin I ul i7?nn Intramuralis I R-Pars Interstitialis . tnln ?R nngil Nsnl '7R'Tnn illslSnn ?u lnt't tSnt '?N'Juit t!'?ulit R'l it - Isthmus tJ'nil .2 itlS'lJnil ?u ttt't tntnt .u3nRil tlj.?UJit N'ti] Ampulla it?t srNn .5 Nsnl'7'lu7it tit\i7ltx .?tu?it 0J')uln Nt it -Infundibulum -l 9tllnil . 4 ilTlrxT TnSl uiln TtNUI Fimbria D.D'tt li7tn ilt3t3nn 7u 'lulit nngit n7nuil iTttunr In]n iTttfn r'3]I - n't-rilJ t-I nj79uN .tn]il ntD7i7n7 nliTlnn - t.T'tt til nu?iTllit Tti7'l .i-l7nuilt rttn 'T.tt t) 7'li7n - n.u9n.?it rltljTlit I.l 17'l ,!'uu9n'ut9t Il.uu9n.u !'l.ltn n7?tltx l.tR-l nu?tnn-ttl\u
1

il7nurn lunnnit .n"u 10 llttNrlr ttl's nttfl Rln ill3lSTlil:fllll il13 I 3nil U3n T. 2D rltulj t'tl.3n .nnt l9 tT ltnT urtlr lnrit

- Ilfl -l il lnlil I'lU.l ,utn9 .n.19 2)t11 itlx n.t.tul lgtT 7ut tt'N Nln lnlil .Endometrium nNliTl Illln ??n nN il93nil n'-l'-lil1 Myometrium NliTl
Llterus

nlu'nTil lt'l Nit t'31 .t-rsnNil \Q> ?.li7n !ntil Tu lttNit I's 1N ilnlil N7[] rr0rNl .l )Nit TrLr lltNit 1.3 nntiTuT itT.liinu nntiTu .urr 30-40 - onril ?tun .lrrNnr nruur utR 7r! irrri !nr? uJr ,n"D 2.5'ltu ,n"u 5 lntt ,n"! 7.5 lttN - Entn tTnn nll3l3nil '??n7 u.ltntnul t.I t.?u n'nn! .lul :t'tr9 nult?til !nl? .i7'nllit 77n )H tngluJ ltnnn lul'701 nngt ,lttit 'TB 'lillll
nI9
ilurrnt ln0lit ritnTul ltt.f7 itlts - !ttn ?uJ 'nTiTil !'I9n nuul lJ.lnl lntil )tD .t'l 'tgtuit i77nn tN ilDln I]''lN' I ln'lgil .DlN'.1 1n'l5l ljiTu tR 7'l f .i7 ts't . lNf DtN'ltn.tgit , unr il I Nt 'r3 ?rx tr7'nn? lu .Vesicouterine Pouch 1t nTurit I ufn I 'l o'l nl I Jl Rectum tul.it 'rnil l'l t.l) ints - !ntil 7UJ .ttnNii Il'l9n nuul 'llnN lgtT 7u lt.Tuit i??nil -IU u'lnu EtN'ltilt9t ll !l ilullnl ltll >D U'fil tl NliTltx RectouterinePouch u'ln nN l3l'l i7'nllil ?tl n; .17lal'ljuit 7tx t'719.i7 !'N3tn u.lit ltnt .DouglasPouch 07.1 l-I '715'i7 ll.tnl. !.Nt lNl Ilrt ntN-ltn.tqt itutln !t-tit ?ul n'ui7ti7il
,
i7

Tn 'unil

1,7

7un

il)xn ' e7l

u7 t trx nfn

:t'ttTN ittlltTu) n-i7)nn Entil IlN it 7u: I I '7lJn ilsi7it Fundus n'ui7t iTit .
.IttJtlflil
1

.!nlil ?u'Tl-ln llTN,tntn 7u.l .ti7.lJn i7?nil Body rltl .2 1.l.1n lnl' lJ ll IN ,!nln 701 llrnril lllNnil PTlil Cervix lN'1 l3 ,3 , il'nt I it 7x nngil Nin I I itsiTtul nttit lntil 7tx .l'tJ'Ttil I]']9il nuujl n'Rllu nttS'il Nlil Isthmus lJ"Illl ntti'it7 ?'l.Pn tt INit .!nrn rNltrr [nln 1t] I 't Tttln tN tlnunu ?ru I I '7rjil nnsil Nt ilrx InternalOrifice''ll' I 9il lngil nRtiTltx !ntt I]'rgl .Enri-r qrr ?7n ltnT nnng I0l !ntn tNt t 3 lr?ljn
.n"U 2 'llllN .i7'nllil'l Isthmus lS"Ilil l'l N\nl Cervix- tNt tiit n't)fl 'lill I].-t.Jtn lt? i7'ntlit lttT tTtn tNt tSit ?rij ltrtnil niiTir
Vaginal p.ntlit ltnl . Supravaginal i7 'n't I it ?Dn N3n I UJ i77t ir

'nn97

:lRll\l N3n r uJ j77nn

,2

l t't .lt nngl Until lNt tJ n)ut )ul l rtnnil tngi't :.p'tTJil i77nil External,os N-ti7l ilrit nnlil nn9 .i7'nlrn ?u n'ttnNn lstl) l|rNn Posterior Il'llnRill n'n-ii7il :!"n5ul 'nu l7 u'l UterineOrifice'lN n'llnNil i7'n-llil I9l-Il n'-llnNil ilgUJil l'l .AnteriorLabium- I Labium,
i7

jnr r ir

rer

r n'n-I'n ileurir

l*l,,,li,l'iii:'lll;T ;;;:*lriT'1.ffii

pnlil 77Tl rltynil nngrln tlt'lN .n"! 6.25 n.lJi7ti7il TUt tR't tSit )ui ,t.l't itglJnl ulng 77nil !.ull riltJl !.?l9.i7l t'l'ntn n'l'll Palmate n'RljTlul E'' l lul?R !" luln u'79i7 E'Tnsl Eil'7N0J !"lllN .ArborVitaeUterina ilntil ?tx E"nil PU tR Folds

In]il
iTrntlit
?uJ il-TnJnil,

nN n'ri7Tnnil

nrx'rrlir

(LevatorAni t'tt[) l.1Nit ngutu 'J' 7D lnn] [nlil tntiTnl Ilntn nN nl l.lunu until ntxttt t90n 'T' ?ul
Broad Ligament; Ligamentum

Latum illnl n

illJ I

yl il

.R

nlN. Jtu'19 ?tx n'9-i 'lutn il'lll N'it ,n'17'ljit iIJtSlil N'il 1)) n'.lnII ils'tn ntSt. ilLn-tit itu'tJtit ,IIln nniTt Il'!Til :fl'llTlNl Il'n-I'i7 :Illlll 'ltlj? lnlR niTTnnr lrNfl . VesicouterineFossa-i] !nlill llnTUli-l nnll N. il rl.Il_T. i7il .RectouterineFossa 0nlill ltlj'il 'Unil rlnll R'il t'l'lTlRil n't I ln ilni7't N'il[l Parametrium !l'lUnlgn nni7l nNSnl itut\ril lrnl ,i7?n l.lul 'l'u I]l ill uli .Tll'u -l . -l ntlj'I 9nill

l'll

rnrr

:E'Nlil U'llnil E'R\nl illnlil itutS-ril llnl

')lu7 Tsn tltut itutytit !.utt NJnl Uterine artery !n1n i7t'lu Eitrir ?ur t-r\ lrrNT ugunr nl!trxir nN ilr'rn Nrn ,!rrir 7N ll r'rl
.n7nui't

i7ltu !u nt IlnuulR t3t' i7lruil .illslJnill .ntttil iruIttit ?tlj II'7lJn 7tllI nNSnI ilt\Isnil
l8

0I

III

7tx il71nil ilrJrsrn

,Mesosalpinx

External

Iliac ETil '?l nN ilJ'tnu Ovarian artery nTnuJn i7l I lJ . 3 lrrl n7u '?tu?i"r lr')uir irjjTr illflln ilr'l3l?
,

.RoundLigament il?l Ixil illJI3-lil illJlsnn ljin llnl !'NSnl lllg'1 N-]91 l.llglRlgN ntlSlil )tx 'ltINit tllT Mesovarium n?nujil Ujn ."f) nTnlluJ il)ntjlil 119Sl7 illttit

Suspensory Ligament of

Ovary ilTTlun

.4

.5 .6

,tnlil

.ilrnrn itxtJtit tlnsil !ttn) n'tt.-tgl.N !.\tn !'lt9'ltijll .7 Il"u L-z-) !'3tn tiluJ t'tlI? ttiilt .l.lRit i7tilJ) n'tt"t5l.N

Round Ligament- il? I luil ilx l3'lil . l ,IltN'I tn.tgit 7U u'9-Iit 'lul l.t il]n1il iillt\tit ltnt nNSnl0l ilu'l3l nN nllln ilu't\tit , ittSt\nn nu'll) n'l l ''t9l'N llnlil T3L nTnSl N'il ,n'?Nl't t.t l'Rit il?unil 7il1 'Tl'l gil nngil llr n'n'Ti7il lulil l5l-I LabiaMajora nlTl-ilil t"nsu) rrn\l'l n?ljnn llr nlllu

iillt3lil Cardinal Ligament nlttluil ?ljn l.tNit n93t nN nStn ,i7'nllil'l lnlil lRllS 'J3 -lun nR\nl ,i77n I'ttll .t.u ltt iT.ntln 'i7tilt !'-tltu tllnl .lJNil ngljl!? :lrfliTl !'lln? unln nN nllllln nl gul I nllJlsl ,sacrum !3x TU Enln lRl l3 'Ji 'lUn nlfulTlnnul UterosacralLigaments 7u nrttnR lgtl? !tti:t cl'l i'l tRt'tiit nR ttnn Yesicouterine Ligament
IlsnNn I i7l rtN' I tn' te ?l e' i7 Rectovaginal & RectoutertH?l-:;Hfl ,ltu'il 'llnil ?uJ Il'nTi7 l9l l? i7'nl I ill nnlil rlN !'llnnul
Vasina i7

.)

'nl

I il

iln'Ti7n lntllil qlnTul l'l

.n.U 9 It.ttnpn lgtlit ?rxt n"! 6-7.5 i7'Illil 7U n'nltil l9llil lllN uTtt;t lRl l3 ?u: 'i?.ntln i7?nil nN nt9'i7n i7'nlli'r nl l9T I l'?lJil i7?Ill ,Fornix RliTluJ 'nDlu ?7n l\tl 7'nllil r1llg:Il nnln lNllS l'l ll?l .t1nNil i771tit .ui7'l-ttgit ?u'ttnNit i7?nil'l 'llTi7it i7?nil l'l !'l'lll ,'n-Ii7it ui7'ltt9n NliTl 'nTiTil'l 'llTlNil ui7'lllgil NliTl :t?llllln nlTllr . ilf slunl lnuil qln?uJ n'ui71i7 iln'Ti7n
.E'7lu7n !'ui7'-l-llgil
,Externallliac-Il ulllJ

NSnl ,rnlil TU Vestibule llTillsiln lunrn .Enlil )UJ lllNil l'37 90o7U n'tIt nltnt ttnpn tUt.it .Unilt

.rrruir'e r i7'nri:til] l3rl''?rll.-t+lT: -f u'l19ltljil

'? E'llllJ
?tx clllJ

!.nr9?'tN Dntt Pttf

Nlil o'nTffi
:'T'lll TliT'l
nllJ?i7n

?tl l'-I'-ltt7

ntiiTlln tul'it 'unilt ltnTu:it ,tnlrl ,i7'rlln .Internallliac :I't'l 'l? tulnl lu'il 'l;nil
t7111 P7n i7?rl

Externallliac fH'1UJi77 TlTltn lt'?u Internallliac flt'ltli77 iPlnn 'ulnN .Superficiallnguinal-?t Commonlliac-7 IPlnn I lnnn
L9

:'u9ll'7 IllT'l

! 'li7 I il P'il
;ArcuateLigament

!lNl'tlit

i7rs
:rt?tll

'T\l llui-l ,nutufl .9.l nlglun .nng ,Er.I t\nil l.nil ;E..ll.il 7u l'luit nr l.ujnn , I I Rn ngXtU )Ul I tnttn !. I sit nuu - itttti-t tsu ittiT nN [.]]nnul u.'l t -nT !'t ti7 t lun lSt ltil l.. ilJIl - tnllS ?N !'lulnnn E'lliTil [ujnl Ischium -il nlns]J ?[1 flt'UJtUJ]lfi llj llTit . u'l I 9it n0Ji7 ?U I I nnnil i7?rn r''llJTlil IIN i7?ln IschialTuberosities-il 'nill nN llnnul 'lntt .I t.ltT ti7 I :!.uJ?t0ln 'l0J? !tNt.-tlit ?tx ' ;n'TRlNit il?unil qtu nR 7'tnt]l 'ttnNil UlTtujnil - AnalTriangle iiTnl ,lnunl I "nil 'llR nN 7'lnul 'n-Itft ulTtunil - UrogenitalTriangle .UrogenitalDiaphragm 11'?U'lllllNil nSIlUi - n'tTil-t rtf 'tn nNSnl ilT !lNl'lgil
iltNt "'t9l n't '39i1

'llN

?tx n'ruliTit iil;tJtitt !.lt9at !Jx nuljT-tn'ltn ;Coccyx -it !ru 7Ur ltnrnil i-t\i?it - ttnNn Sacrotuberus Ligament ilX I 3l I I Ischiopubic Ramus ; n. ?lu7 nN rlulnu lllJil Rln Il'tR't't9it ?rx l lnntil !.lgit nuul - it!3tn

0'll!il

N'ilt ,ni7lntjl n.nuuJ :flttliu 'tut? niTTtnn - n'7N'3'9191!it it'3gn ?tx itiTtnl;it ittftxil ,lutit ?u: n.nri7 I !'ll ?il1 n.tuulit n'ig? n.lulnit Uill l'N n'lUtllil illltll? ;Colles til"lJ il'3! n'Nli7l Il'lllJ-I1lil fl'39i1 .lntu tnPtn ilti7.xl fltlttn R.itt Tnt.n n.lu[]il r'?N. J . gl g I 0il il. \gn RTnnuJ lntu nnttn tttttn'i lnt.t itl.u n.nuujit il'3qil .?NlNn tt I.Nl . T I lljil I I I 'N7 nlujn I l'39i] .Ischio-Rectal Fossa-il nN
n'lUJnil N'il'l n"Tllllnn

llT'Nt ,!tN'l'tgft ?tx.Tttnil IllJt .n.?urlttttNit nguluit .fl'nuulill itiTtnIil it'39il nI nl Innn ili7tnuil Il.ttu nr]il it.sgit '?NlNil ;LabiaMajora nt?tr.tit n"rgulit )t! it'tg) n-tunil N.il altuNt n.7N'-Tn lsnil u]] nl TnIInl t.lulNn p0:1 Dartos-i'i n'397 n.lunil tl.tl . !.lulNi-l i?0J ?t! ils. nnil ux I '?u. I uT'nit
ni7'lnrn il'3gil n?ti7n N.it .u'tN'l.tgit -ttT'Nl D.t:tuit ?t nN nsutrU it'39il N'n , ('5llt9'tu ltx) itgu'llJ R'n0l u.t'lulit utij '97 t'l'ltll rtnul
CentralTendinous Point I R Perineal Center' TllTlil T' lil l'll ll.ll l'9n uttUll nl]l.uit .9 l't NJnl0l n.u'ttt.9 itnjTt ultl Ntn ,n'! 4x4 iturNl ,n"! 2x2 ttlt t?T'l I .itrirNl p.nrln ntgt nxtun 19 :Il'Nlil n.lllulil clut ll.'t !tR.l.tgit tl T.Nlut tt.39it 7) nlTn\l -T..17 Superficial And Deep Transverse Perinei , Sphincter Ani Externus , Pubococcygeus Bulbocavernosus I ' -l tll I

,ni7In N'il (Colles) ili?lnUil Il'l'lll-nnil il'Jqil ]llliilnil N'il n'?lU? ;n?.ln7n (Scarpa) llilil ll TNI lliTlnl]il il'3!? .l.ttu nN ilulnul it.s!? ?tx itiTtnuil n'ygit !l ntlnnn N.it .t..ll.it -T'lit

qtn)uJt n.ltntljit

'ntr]'17 n'uR7i7 n'lt'l -t.t itUl'l llT nliln l'lil itT'7it lnTl utjTl u'fl]J7 Nlai l]l lflixil
20

Anal Triansle ,IschiorectalFossa

'7 t xit

uJ?

t ttlnn

ilntlil

al.-T3 .lunl n'7lNrl il?ljnil nRsnl llllnl .Ischium-n !Jl]7 n'?lNil il?I]nil l'l il-T'l9nul
IschiorectalFossa

-i rIDll llT'N

TnR

7)2 ,n'?NrNit it?unit ?u l3 ?tn ?2t itLlschioanalFossa Dl NliTl nN ilulntlj lllJil Nli'l 1?Ul D'!lil ltllN (0.lI li7) ulln )u illls u'?)TlilTl
)

l)Nn ngtjtD l'l0l []19nil li7 lllN? RSnl l-IlTl l7'Nl DIN'l'lgil (Levator Ani l'ltlj .Internal Obturator l'ltlll :itltr.tir nl7'lll ExternalSphincterAni' I'lsnil rl:luit tl tut LevatorAni I'tul -n'?N'-Tn .Ischium-il n'Ultlllll InternalObturator l'lUl nN il!lnUl il'3!il -Il'7lU) ;il'7u' l.l ll lNil nguluil -ilnliTn .Sacrotuberous Ligament T lllJn 'l'lUl nN ilUlnUl il'S9-l .llnNn .1'tu'l'7u ftutln 77nil -n'nuu
nniTr I

D'rrrrr lnrur-

rnr 'n'nuu. n'ttl*l,t".TJHtrTiHi,-:lrtli!

ltnl t.Nsnl InternalPudendal .n'l9it .?N-illtgit uTil '?ll llllil N.it't ,(Alcock's Canal) i7ti77N tit"lJ il7unn NliTltx il'39n 7ul ?.l9'i7 .InternalObturator-il l'-lul rN il!lnttj il's!l nNinl
UrogenitalTriangle

-'7u' t.l ltlnn il:?lunit

n')NU'll'l ttNit ngljlun nN ?'ln.nuulit ,!lNl'lgil '1J)'luln l'ln 'nl'Pil Nlil ttTnitl i7tnxil llTnil |N illlltx ,1ilJ7 ngutUit l.t NJnlul !tNl'tgn'ttln'l Urogenitaldiaphragrn - n1?U' I llllNil ng1jluil nJ.nn nRI n'7NU'll ll'l Nil flsulufl nR ttnnul ul?tun ?uJ it]13t ,n'tttt -? irt t uriT N'it ,Ischiopubic Rami ' I tll I 'I lll9n iln' TlTn Pubic Symphisis 'Ll )u lltujt' n.I tntDil nutTt ,ttnNn ntN't.tgil 7[] 'Tllnil l"'l7l nn! Nsnl ilnl19N'1il ?u ]j3nRil liTl .ngljlun ?ul ll'?lJil [1']9il nuul .i7'nllil !l iltilNll illsltlil nlllU ilT nng llT ,GenitalHiatus RliTltx n'l ll ngljlun DeepTransverse nlN' l.-t!n 7u iTlnlJil'lnttil'l'lUJiln il's9n'l 2")t I'tulit .t'-tulit nN ncututu itptnxil it'sgitt Perineal lnlN rl!ullJtlj DeepPerineal ttN.ltgit ?tu i7tnuil ttTnil rN Il'lJ'l' .n' I 9it 0'lil I N Compartment .Deep PerinealPouch 77ni] ttrnn NtiTl ,ttljit l'l) iil'l ,ilnll9N'T?'llJ'nil'll'l9l'Rn . Superficial Compartment rll N'I 'l9n 7ul 'luuln u.t.tUlit l.t !.7?nil nN tNTnntll itjTtnuil it.JSil nNJnl 'flutllil ll-Inl 7uJ !"nu0lil llSlit ltINt it.39it !x t'tulnil nRTi-l it'y9n ,!lN'l'l!il -l Bulbocavermousus U'l'-ltlil nN ngUlx N'il ,ll"ll'nl Ischiocavernosus ?tu (Bulb) Ul-llunl (Crura) D"iTltljil ll'lN?l l'9n ulltll? ill'ujnnl ??nil llt ilnltgN'Tit ?uJ n'Jgit !t: t.lTnnn il'l9il llttNn .]'!il ,iln'Ti7n l'gil ?t! il'Jgit Du n.lInnn l,1 N'il ,llnNn ll.lu'll3'llil ,itTl'lPn ttlo ?7nil lll
21

,t'7u.l.tt-ttRit nlrtuit ltntu D.ltn - i7tnuil ttlnil lttr ,nlN' llSil 7uJ iilnuil'lnllil l'ltllil - TransversePerineusProfundus ;rl'?u't|lttNit ngljtuit ltntu iltgttxit 7u ili77t -Membranousurethra ;' I lll,illglUJn t.t t! -SphincterUrethrae .tlll ltuill ilrsltlll nluI7l - Bulbourethral Gland (Vestibular) ; Pudendal lsu'l Internal Pudendal !Tit . ?l . Dorsal Nerve of Penis - I Deep Dorsal Vein of Penis Ischiocavernos.us,Bulbocavernosus:[..l.lt1]ilnnffi illgltUn nN,SuperficicalTransversePerineus- I .I].' I l3'nn I'nn'llNl . I I I Nit ?t0 n. tsuit I ilTn .7f ;l'5lul itlgtUJit 7ul i7?nil SpongyUrethra- t l.sit rxtt[] :tl.tl ,n" I t3'nil I'nn 'ltN ,i7'ntln ?u I tnnnn ilsi7fl ,ittsttrit :it[].Nr
'197 tril tiTgIlN n'i7l l]iTguN Internal 'Tt'l9n ilt ttlJit lTttx Ntit IltNl rtgit nN i79unil .uNtit iTttuit u.i7trlliln nntnl .nTiTit itjlr ngut I nT ni75uN .Pudendal Artery . (u.?ttngil E.17ttuit '9tu) ExternalPudendal
nI

Nl

NYI',InternalIliacA. 7il')uN'19 qltl Ntit InternalPudendalArtery llllJ,Pyriformis l'ltll? Ilnnn,GreaterSciaticForamen-it ltl I lNrln ,LesserSciaticForamen-il llT illNl'197 Ultl'1 IschiacSpine-? t'ttn ngxto? iln'lg ttilNn tT'ln ,Pudendal(Alcock's)canal ltl tttU u'lt9it 7t[ n] ttnnil iln17u7 Ttnst nn.li7 tltlJt n.)u.I I tttN

ttllJn i7tlU PerinealA. Artery Of The Bulb Of Penis (Or Bulb Of Vestibulum) Urethral A. Deep Artery Of Penis (Or Clitoris) Dorsal Artery Of Penis (Or Clitoris) -t. t't T t i7. l . n'i7t ilJ itiTguN? ?.li7n - . .Superficiallnguinal itDt!9nil )u nt'nuulit itgn''?it tt'tUJi7? 'u!n'? Tti-/11 ltNl'tqil
.PudendalNerve

.nlPll nl)l-Ilil E..ngulillR llTt !'lurNit :!lNl'l9l !'lln i79un1 urogenital Il5Ul0 lll

lt'? I N il)Un7 I I Ul. it . }ln) Inferior

:l'9llJ

Rectat ,qlTtu? Post. Scrotal(OrLabial) A.

t'llsD

ill llXil l3ll Nlil !lNl'l!il

.InternalPudendalArtery

'IUl nn

7u Il?nn7 ilitI It7iln nil .r'rur?

nN i?9Unil 'lllNlil lSUil

Dorsal N. Of Penis (Clitoris ) Perineal N. Muscular Branches Post. Scrotal (Labial) N. To Bulb Of Penis (Clitoris)

,"i#;#*fr

]l

'lrtnil nlj?pnil 'T' 2) Dtlll lttSltit !'1Nt't9 7UJ .nlpit D'MI nuull 'l Ilioinguinal ! ' ty! iltt , Lumbar Plexus , Genitofemoral 22

!1N1"-lgil'-11-lul

-l'-luJ :il1\tli7 'nu? !'i7?tnn !tN'l'l9il .7u.l.ttt'tNit tlI.Nt I]'-t'lul ,1 ittilNlt tt.tl n.ltuJ .itulNll ttlt !';lT - .TNlNil ltI.Nl I'l'lu .2 t'llslun D?ll ,1..1'lJl !.1'lu lil .)u'1.1 ll'lRit llT'Nl n'1"''lill cltu ."r) ,Pudendal ?-illlgit lyljn .7N.l.lg E'lTlnlj 2-1 !"nUUl 3 :U'l'-lUl 5 lNl UJI

:llll E'jTlnlJil l'l'l0ln

TransversePerineus Profundus UIN'll9il ?U i7lnUil 'lnlln l'ltllfl .1 l9nil liT]. Ntit Tnnilr Ischium !yu ?rx nl tnnnil ilnt7flJiln !']..un lli7n ,'J'lil Sphincter l]retrae

ill g I tljil I .l I o

llTNn It't.uit tti?n .Membranous 'ntli7it itiTTnl ill9lUJll nR 1.1 l0 TJI Il'f..!it nt I innilt Tntilt Ischium- I Pubis ntnsu ttntTu Tttt tllsnil ,n'll3l tn?t!g ,'l]snNil 15nil ti7 T'7 ,'lulit.-isl Il'1.'uil 0u TrlN .lnuiil n?uil tllol rllfnn
:D''flUtllil D'l'lUil

-l'lul . l'tgil ?tu'nuul'llll N'il n'L'uit tli7n ,nl:un "9? illt.TiT NSnluJ itulJt nllSl l3 l'ltll .l.u -ltuNl 'Tttnil -T"til Ntit n'l.0it ?tx Innnt Ischium Itsu n-tljl[]l.l Niir rnTure .rurn l'rrxir ?rr r.r.!il lrr
TransversePerineusSuperficialis

tr'lN"

:f

iliil: liT.tii IlTi

.tlt Rtit .DtN.l.t9n )u: l:nxn tPt Ntnl Bulbocavernosus I'ltLl .2 i].t.!it ltiTn MedianRaphe rlJSnNil t9nil tiTl Il'UJlgluJ t'i77n 'luln -I'liln U'l'l 9il EYUI CorpusCavernosus'llgUil llll' Nlrl ilnill'Tl-lnil nll.nlnilll lrLin0ln nTuit qtut ittgtujit nN l17tt7 tn7ilJ9.J. .l.gil ujtttll ?u yn? .F'J'l itgiTIl lTlu . j'lit ?nr .7ultTit r'-ttit ?u't 7u lliTn ,l'9n 'i7l[u nN ,clutu l'gil )tu itsiTTil l'lu] Ischiocavernosus ,3 .J'9it ?tx D.'i7'tulit .-T3l TnRlt Ischium tsu 7u n'ultull l'l'uil .n5i7i lnlt .T'ttt Ttt.l llxnt l.git '.i7'lr! 2v Pn) )'u9n :ln?'llJg
:

iltll1Nl

u.j7lnuil u'1.-luln

n'L'Eil lli7n .u?'iUJn nttll I'lu .TransversePerineusProfundus .1 .i7'nl lil ?tx nl lgTl Innill Ramus Of Ischium -il !YlJ 7uJ nnlTuil :E'p?n' luln' I lt SphincterUrethra itlgtrijil rllu .2 l'lulil ?U U'l'Ul. Tnnill Ramus of Pubis !lliTnU !" llyn D-1.-! .N ,'Tllll T3l .itl!lUJil nn9 nN 0'llluUJ Dr 'Jl.lg D'l'u .l

23

:n'.Tlu[l]il !.]'luln

ln7 ? 'tiTn Transverse Perineus Superficialis . (i7'nllil ll'lU) Bulbocavernosus l'ltll ,2 .-il-ITtl9it ntl9-It0t n'.tt9uil ilniTtit nN qutD .p.ntlit nn9 nN I'i7n n.ltguil ilni7tt Tnnil .nDtuit 19 1.1 tul'l 'Ittnil -I.tt n.t.uit ttiTn ,i7'nlln nng nN lYi'17 ln?llJ! .CorporaCavernosaClitoris l.1Tl1i1 ?Ul .lrT.llir ?uJ irgiTIl 7'119 llt
.

l Ll L

il I

(lTlTn .li7f T) Ischiocavernosus l'ltt1 .5 nr?ttln lttN? Nsnl r lTl-In 'i7'ltu 7u n'119oil ilnl?ti-t nN lulu Tnnill Ischium DSlJ n'Ulltlllll U'1.'Ui"l lliTn ,illN'l'l9il 7tX n"Tlsil ?u u.'t t90n E'.i?tulit 7u f tn)7 'ln7tx9 .l tlllit ?ul E.'iTtutn 'T3l ilei7T7 D-il I -llr lrrrTir
. ?N I

Nit

't I

Nil 1'l'''lill

,n0l.Rtt llJt E'ilI l'ltlJ , SphincterAniExternus - 'll3'nil nDfUi'l '9 lllU ,1 .n"u 2.5 ttnlt n"il 8-10 tlt'lN .n'lljlu tx't?un .'l lt'1 itug'7N nttSl nsxit it3i7'l nuluit .9 l'l0J tgnt t'tti7n ,t'tujit tt-t Ntittll .nuulit i7?nit IllTnSl I nulUll 'g nN il'9i71U U'1.'Uil .AnococcygealRaphe n'll Til ulNl'lgil 7ul .nu0lit 'lnlli] 'l'lujit ?tx tl'l..Ei-t !u TTl. .Tllnil T'17 , Bulbocavernosus I ' I tll I Levator Ani Ttll I Transverse Perineus Superficialis ..Il"l9;t 1.1 107 tlti? n.?NrRil il7unn 7u tttuit -iTtnun i77nll :l'lulil n?lDg TonicContraction 'T'nn Pll'1 ,"'lJ '?NlRn nngil nN lllU? ,1 Tltnn T'til nN t3'.n ,3 , Pudendal tJUn Inferior Rectal N. I I lsu :-l i'.l9'i7n0l n"''l'lU nUlU ,sphincter Anilnternus'll'l9fl nULUil lllU .2 6- I nn"nun'l i7?n .-'t 'tUJ 'l.iin il''l lt .n.?NlNit it)utn ?ul n"u 2.5 .n)l '9 nngil nN t) tu ,n't t3-'l.tt.l tn)tu9 ,.7NlNit nnsT ?t;n n"n .itNt3 n?uit lnit 7.D91 nutuit ,'ln'l 3ttlnil? r-lt:'un9n.u .n'9lil7'ungn'uNlg'I-l'l U'1lulnil i7?n l'lut '1.'U - CorrugatorCutisAni nU:Un ttU UniTn .5 n'7R1T-'l ntltl E.l.1i7nu n.TlNit il?unn )u l9'tlt .f ttNit t.tul? ,'ttiJ7'l n'lt!-nnil ilni7t7 !.'In3it nljlljit .9 nngn
nIUUJ

24

illllNil Ttil u"lls'flil

:!.Ntil D'ltnn 77tll
LabiaMinora nl

I'nil 'lln
Vulva
Mons Pubis

lUtil !"n50lill LabiaMajora nl?lllil !"n90lil Clitoris llT.lT

ittt-n;it NllTl l'l T'Nil i7 'flil l]nl

Greater vestiburar

.,""L"lilt',:il"9il"nT;i]lI
Bulb OfVestibule

; ]J I l-TT IIsil Ul Iul

l;]:

i7'nil lJu t!|7 iln.Ti7 uTltnt 7.lr::n llTN -MonsPubis i7'nil nnl .1 I'uul tutt nutlnt t'lntuJ ilniilll 'l:l PubicSymphysis ,t'lJtll ttut tl'u'lln trtttNn ttu '7't I'i7 'luJ - ]llTl-Tlil t"n!ilJi-l .2 p'nil nnln !'lulnlln .llIl t'lulNn i7u7 ["]l7lN 'ttnN ltt'lt nlNfnl p'tnt .Pudendal Cleft '7tt-ilgil P'lnil'ngu nR !'l3l'l u..ngulit nt'?ul nNSnl p.tn7 iln'-Ii7 . itl5ttllitt i7'Illlil 7t[ u'lngil n'r'rnNil Ir ..neurir nr' 7t, I I nRn t Anterio'

i:H:,::ilfr',r"TT"H;;Jti

n'Nsnlu n.l"l .)15.p .lul - nllutn B"nguji'l .3 .Forchette RtiTl ttnNn t'l lui?it !"tgUti't tllTnnil ,nl)llln t"ngul? n"u 4-1 Clitoris I lTl-Iil NSnl Dr rnguil I -l P'lnil )u 'n-Ii7il P?nl it''l ltul itt'7u.r itlUt'll-r,tl? itll'-Tl ,i'nltil nng NJnl l7 n'll'luul9 n.tt'tUUtg't PreputiumClitoridis ll-Ii-in 7u ilTlUn nN lJl'01 1l1l ?9i7n .Frenulumclitoridis lll.tTit ?ill Il'lu-tit nRliTluJ ill'?Uil nNJnl l.l-Ll-i?

!.?'li7nt llnl

illln - clitoris lrl-Iil .4 l'9? '.1 t?tntil itgiT'I ItTtl'?ul'lt!u 'ltlln il'tttul ll-ilTi't ?tu ittuljil nN\nt IiT.t-Iit 7t]J 'Ulglnn ilsi7l. .lllil Il'9tuu !'tul )it . l.tr;-In 'i7tuJ nN n'l3t'ul t'I I9u ilni7l 7ti: E'ull l ilni7ll Suspensory il?tnn illJtstl .IschiopubicRami-7 l'Tn3l I n'ulll'9 -il 'l'l0l 'lul ,Pubis i7'rlil !JU? lllTil nN nl'n3n Ligament .ll.tlit )tx !'.i7tun E'TnRl Ischiocavernosi . l"ltll P'lnl Nsnl VestibuleOfVagina -iz'nt:n )u ttttttgn '5 llt ,i7.ntln nngt itlgttxit nrig D.Nsnl tlttl .nl luiTil Il"ng[ri-l ' .ttrTttgit ?u nt?tl.1it I'lil nlul?lil nN nlTiTlnu nl'lll"s n'u 2 NSnl illgltjln !n: iln'-ii7l ll-I.l-In ?u illuu? r'll'luul9 .i7.ntl? Nfnl Nlil ,y'ln nllll Nlil i7'nllil ln9 nn5? n'll'luul9 7qi7n . t lt i7'ntlit nngt NsnluJ D'?tnlil utt j7 .iil luJ tTTl I illgltxil .u'nng lN !'li7l '11 ul''l n'l'l
?rx

'tlTl. ..1 tguit clt.t7 'lt7tntil -BulbOfTheVestibule l'llTllgil 0l'lltil ,6 'lun E'Nsnlu .n"u 2.5 ?tx llNl n'll!u il9i7T nniTl 'lllll 'l0ln 'llll ,i7'nllil nng'J"\ TU E'U')n .n'l'-ll E'I]llnl nnPll !'ullu -il o.t.tu] u.ulln !il..nuulit ti7?nt ,n'7u'llllNil nglJluil
,

Bulbocavernosi

(GreaterVestibularGlandsOfBartholin)

ll-TIllgil ?tx rl?lT.lil nlU'l?lil ,7 11lul7l 'itrlr ln ,tlTn 7u illgtuJill !llTllil nlul?l? nl'll7lnlil n"u 2 illllNtx IlItln n'lt t'3 ilul?l 717 ,17'nllil 'T3 'lUJn nl luiT ,l'7ll-tlit Illi7 TY? illnsl
25

il[]Nil 7u I]"']13''nil I'nil 'lln

:ri'Ntit !'ltnil
LabiaMinora nl lUiTil

??ttt

Clitoris lll.lT Vestibule OfVagina i7'll1 I il I ITT ll9 GreaterVestibular Glands l'lrTllgn 7u nl?lTlil nlulTlil
Butb OfVestibule

rll'flgulil'l

i'llllLlll NliTl llT'Nil Mons Pubis i7'nil llnl LabiaMajora nl?l-ilil !"ngluil Vulva

I I TI'l t git

ul-t I

uJ

tln ll TN -Mons Pubis i7'ln llnl .1 .l'llt! llUl ilullnl n'lnlU nniTln 'lll PubicSymphysis ,-l'u0] l'1ljl. !.uttn il'lllNn l'llJ '?.l9'i7 'IUJ - n1?lT-1il I]"n5uil .2 'ttItN ltt.tl i7']lit nntn u'lulnnn .tfIt u'tulNi-l i7tJ7 D'.ll7lN !'Rinl Y"lnl ,Pudendal Cleft '?Tl-Tlgil f'lnil'ngul nN r)'l3l'l u' 'nsulil nt'7t1J nN\n I P'1n? iln'-Ti7 , ills I tlil I i7'rll I il ?ul !'nnSn .n' I lIlRil It. .ngUil nl'7ul I I nNnl Anterior Labial Commissure fl'nT'i7il
i7'nil
EYU

tSnT nn'Ji7 uTttnt

7.1

Posterior

Labial

Commissure

!'?'li7nt ltnt !'RJnluJ ilt'l '?19'l? 'lUl - fl'l luiTil !"ngulil .3 .Forchette NliTl llnRn nl lulTll U"ngUil nl.lTnnil .nl7lT.ln IJ"ngu]? n"u 4-1 Clitoris l.tllln NSnl !"nsuil l'l P'lnil )uJ 'n-Ti7i] i7?nl it. t ttul nl'?iit itl[]' ll-Ill7 iln'Ti7 .i7'nllil nns NYnl 12 Il'll'luul9 n'll'lUUl9'l Preputium Clitoridis llTl lfl 7tu il?lUll nN -jil'tll l'lLl Trln .Frenulum clitoridis I )T)lit ?u n.lu.tit nNtiTltll itl'?ujn nNsnl I il.l-I7
.lUJU

?ul l'9? 'lt?tntil

clitoris'l-Ilril .4 n?ll' ?1ll '.ll9u illln it't tttu ll-ItTit ?u iltulJil nNsnl I ll.l-Irl ?tll 'uslnn-ilsi7r .lllil !.9tull u.tlltlit .l)llli-] .i7tul nN E'ttt'u n'll9u ilni7l 7tl !'tljll Suspensory il?1nil il!titit .IschiopubicRami-7 !'Tnll I n'ul-ll'g ilni7ll
i19i7'T
'

i' r "ru' ru t"oT.,l;1.,;=il' Jli]-riirl]'ff;t#i:ffiI

l'lul y'lnl NSnl vestibuleofYagina -i7'nllil ?ul ll-illlgfl .5 lll ,i7'Illlil ln9'l illg'lulil nn! t'Nsnl lllnl .nl luiTil i]"nguil ,llTillgil 7u: nl)l-ilil I'lil nlulTln nN nlTiTlnu nl'lll13 iln'-Ii7l llrlTil ?tI illuxT n"ll'luul9 n"u 2 NSnl ill!ltxil lns . i7'nl l7 nn9? n'll ''lu0l5 NSnl Nlil .P'ln nllSl Nlil i7'nlln nng 7gi7n . t lL jT'ntln nngt N:nlu t.7tnlil !tti7 .ill ttu t?-Itt nlg'ltlli-l .I]'nns lN !'li7l ll u'l fl'l'l
'tlTl. rttgUit qtt? .l'tTtntir -BulbOfTheYestibule llTIllsil tljlltll ,6 'luln E'N:nlill ,n"u 2.5 7t! llNl. Il'.ll9Il ilgtT nni7l 'tilll 'lUln 'llll ilI]i7-ll !'lJllu ,i7'nllil nr!'T'l TU !1U'.lIl .Il'l'll t'0llnl nSlJluil it E.t.-ttlt uruttn !il 'flu0jit !17)Itt ,n'?u'llttNil
,

Bulbocavernosi

(GreaterVestibularGlands OfBartholin) I I lT t-l9i-t

nturTr 'ru] lit ,tlril 7rr nl!t[]irt uttTrlil ntutTlT I1l'rlTlnln

n"0 2 itlllRUl nIiTtn n'ttl'3 i1ul7) 7)1 ,P'nllil .r')rnlil
25

?u nl?ll.lil

nlUl?lil,7

'TJ 'lUn nllUj7 nrliT 137 ilnll5l

.Internal&ExternalPudendal.]]3'nill.]].]9ni]l..]]Jn'ffi

Perineum Il1ti7 I it p'n7 u'l l)'l l7 Il' I i lJ .2 .Deep DorsalArteryofClitoris l lTlTil ?tu'?0-l'rln i7'rnilir i7'r rxit'l . 3

'll T'N ?u n'T''ll nD?i7n ,n'i7-llDil ili75oN) ?']'i7n - 'T''ll T li7'l cl'lnTurl T''tt'l7t iT.nllil T'l'l? ntiTlnnu PudendalPlexus ilt lluil ExternalPudendal'lts'nil n'l'tuit r''t'l lttNT

Inferior Vesical Yein I I nnnil

n'l 'tutl7 'u9n'7 TtiT'l ..ExternalIilac nt ''tu1i7)t ,Inguinal i-'luu9nil nT'-lurit) nt T jTlnn

. .l lNil ?0 n.nt I tulNn nuTiTnit'l PudendalNerve il11''luit ]su - tr1tl]l

26

-ll.lil

?ul n'''ll3'r

I'n .lln
:lN n.7?tt tl.til ?tx l'nil 'llN

l'lulNil ,1 lililj l.nil 'Rn |N lf "nit llR) nt'tlTn nlllllil :rN -I3 7ll t'?7llt! ,lJlT;l 'llT .2 Ductus lJlTil lll'3 ,Epidydimis , Urethra nl9'l tllill Ejaculatory Duct- nl I' il -l I I' J,Deferens lIlJ fllu'l7l .5 llT ,Prostate-n'llnlDil nUl)l :lj-lTil ?Tll nllS"ll nlul?t .rlTt (SeminalVesicles rtsnTlun nlulTl) ulli'l nl'rl57tx ,Bulbourethral Glands- lllsl0lilI u I l? I lil Penis - l'9il'1 Scrotum- n'lLUNil iTtX :U'llllIl n'lln.4 .l'l'lln ?u l'5itl lnTlln tlj t'lUlNil i7[] ni-l E..ll3'nil I'nil 'lfN
Scrotum

- !'ltllNil

iTtlj

Pubic .2 tnnn I

u'l Nlil n'lulN;l ?tll I 'git 't I nNn N\nlu till .1n.il ,I}'ll-Tn 'luJ? Il'n'19 ils'nn ' T' 2D i77 I nn , Symphysis It. I 9il llutill . lJ*l:I il ?ln I 0'n 'I'J' 9N ,IUJN NSnl ll-In Tlll ,'?Rnulill 7tu l l nnn u 'u t7 lu t nuluit ' gll IUnnnUJ Raphe lgnl 'IJn 'Il3'Ilil iTtx ?tx '7Rnulil l7?Tt;t ,lt) ,l'Tt' ru*n r inr'tillnl$X*',,l,tn Rt;t ttllil
nN

o;l;11

Dartos

7u ff T.tuuit T ittl'un ,tl'Tt .'ttll

il'3gl llu :Illlul 'n0ln 'lll n'luNil iTtx TtLt l9l-Ill .17il1 ;ilJT nlut?l ,nlluul urn ,n'?lg'i7 llj llilll i7l Dartos-il nll0l il'397 n'lilJnill i7?n I'lUJ 'l'uJl il'lll tR ttiTl Plllnn I'liijil ,trlN'l'lgil llT'N ,!'luNn l'l il'T'-lsnu n'n'l9il il:'nnil nlSl l
!'ltllNil
rl I

g'ulj

g,llil itttiTn Tunica Vaginalis i7'nllil l1lltll Il'll'lgil il.7t;n ;!tNltu'tgn n'TUllUllUil il'39iln illli7n Internal Spermatic Fascia n'll'19 il9'UUil it.sgl itttiTnut ,Cremaster lujNit D'ln l'-lU IllJ CremastericFascia il'?lJnl
r
r

ir ur.'

",,lli'rqi.

5J;]

o;$,

i,\',.,-'n'r,!l,'li

louj?r'nnn

;T",

External spermatic Fascia 1rI T

- tt

;;Hit[rfi;.".,-..,J";'JTi3l]tl:

,;H

:!T IjTgUN -'n-ii7il !'l9n nuul ,1 ,ExternalPudendal ?tu Il'9111 Anterior ScrotalAa. .InternalPudendal ?U !'9lU Posterior ScrotalAa. -'llTlNil t'l9il Tlutlj .2 .3 (InferiorEpigastric 7tu 11:lJ) CremastericA. !'tulNi-l iTtu llnl !'lln? .ulTil Tlnl !'Nsnlul TesticularA. -l
,

n'i7t tll ni79uN7 ?'liTn - 'l'l

I i7' l

,superficiallnguinal nlJUqnt ?u ilgn'7n

rl'luli7 7N -'ugn'?

T"li7'l

t' ] 9ll nlJuJ Genitofemoral- I Ilioinguinal !' l\u Lumbar Plexus- ill'nTPil -llnNil Il'l9il Tlutll :SacralPlexus lt'7117!it liJ7i7niln (PudendalN.-nn qlu) PerinealN. Tu scrotalBranches .N ,PosteriorFemoral'ttnNil lt'it tiun PerinealBranch ittttuT ilu ,l
27

I I tSlJ

Testes

- E'ltllNll

ftTit .Nn tN Ilttltnil tnRT nttJ. 'u[i] , (Testis J'n'].) ritut)t .lti Nln .li7.uiltll,Dl t lllTlN;l,u..ltIil i'nil 'llnttit nNl (Spermatozoa) .utTn ntttl'3n It..t?n ,t.tulNit iTtx llIll l'NJnl Dit .Testosterone-;l illj Jtt. ,Et.t 25-) tURn Tizun, 'ln';llt tttT ltnl '7Nnuil ltljRit .n"U 2,5x 4 :!7Tt.t't ,n.?ttN ntts ,7'lit .lrxN;t illln Tunica -2 Tlnu nNYnlu TunicaAlbuginea ;tlt.7 it!uunt !tuu lrxNi-t iln'19 Il'l-Iln illnnl il9.t93 n'ultlrg ilni7tn il.tlt N'it ,vaginalis (Lobules) nl I lN 400 TU 250 -2 luJNit nN ntpTrnu nts'nn luJNit I tn? ntli7t ntullslt .ttI1N ltt.l? ntltg ntltRit '-Tti7-rti7 .ntu?tun .MediastinumTestis Nltl -llTNil ,lulNit 7tx E'.ttnNn D.'?tul;t seminiferousTubuli ntTttgn utT nrNUnl nt.ttl.y 1-4 Ninl ilrrR ?fl nl'lllSit .n"u 7,5 -l lltlN ,ulTit 'Nn nN u.l\.'nur ,convulted lllIil nlNUll nl'lll'J 30 -IlJ 20 -2 ntnNnnt rt.lt-rill nttu'-r'tJl fll?xn llull ReteTestis -7 nlnnglu Straight SeminiferousTubuli nttu.n Illll'J 15-20 I]'Nyl' lNln ,MediastinurnTestis-it ttTNt nNjnlit . Epididymis' il tltNt? u' u I I I I Efferent Ductuli ?U'u'lgit nuult n'Nsnt ,lttuutuuu I]'[IJ,l9nil D']'liTlltNil n.Nnn .lllTn nt --lt I't nN il9'l7nu t.tttt ilniTttt ntynnt ,rlll?it iti7.I tun
Epididvmis

n'1tnNil l9t-Iit 2D nltn ,n'u 4 -l ttt'tN[] ,"c" r.lN,l I]ttJl illln ,-rNn Tnrgn ,'n 6 rf rrN*r rr r.r ,l,l_,ilrTlnn;il.??irl;.i,;;rilr;H ,ll Tt rltl ,tt]Nt :E'i7?n ilult7rx7 i7?tnn u.lt.T.TgNit nll0l'rl nl ''ll lSil .lujNn ?ul lt'?uil luli77 ttlnn u.Il.J.ri'gRit ulRt .u'n.l.T'gNit ltl'\? ntilnslt nt)nsnn ttttl ,1ffi sinus'T'7lJ lulNit ?tu.tlnNil !'l9it nuuiln rlcln o.u.T.T.gRil qt.l .Tunicavaginalis -it ?u: nt?gi7nil 'T. )u t jt lil nt ttn Epididymis
lnltn u'Tl'T'J.9Nit lll.f lNl llnnnil il3l7it Ntit u1n.T.T.9Nit l.lT .DuctusDeferens -UtTn tt l.s? lgtitt

- uttn ?tn '7u0. Tn 'l i7)n nN 7'ln I p I nxit ')l.t,.ll'Rfl nnsilr 7.nrln xtlit ?ln ,E'l[]Nit nl.t. lnTl t.7N E't'l?nnu u'll.n uu utlit ttl.3 ?rx ,.tn.ilJt lttN tltT 'TRnuln :u'Ntit t' I tnil nN ).ln ut T it 7ll )tll i7t Illil nU Ductus (Vas) Deferens
SpermaticCord
1

Testicular A. Pampiniform Plexus Of Veins Cremaster I '-l uJ7 Genitofemoral N.

u..lllllulN

n.l\ul

il9n.7 '71

28

rlr-T.-l0l rlll.ll nluu'j ll\'? l'?t?u

?tx

,!.'llllJ

!.J.lllj
.il01'N

1lun ul. !.liljRit

iTtxl

?i! i-tt3t3t) "lt?tntit cl.9t) AppendixEpididymis ttl's T'tul ,u"n.J.J.!N rllNt 7f luiT . illesonephros - ll .lll luii 1.9t) Paradidymis ,u'It'l"T'!N ulRl ?:;n nlln ,nl.lll.3n .Mesonephros-n ll I'5 I'lill ,!'n'l'J'9Nil .1l T I tlJNl T'? nlll I'J Superior&InferiorDuctuliAbberans TesticularA. -iln :utIit ?lIil u'n'-I'T.!
,nuttNN -I') nl.tlnt?

'll'tu ttpn ,luNn

lt'7un nyiil luiT cl .91)

AppendixTestis

OfVeins-7'T't I T t it' t il9n'? nt'tuli7? ,it?llTl '5?l .n9n.? TtiT'l

Pampiniform Plexus

llluln

lllsu,'llnl7 uluiT?9ll GenitofemoralN.'llulu :lll31J nlx7i7niln ,'uu9n'! lllIit nttt l.3t lgtlit 't'tul n?lj9n? .Ill'lu0ll5'ilil
Penis

- l'9il

txl1ilJ7 i7?tnn Ntit ,1lt )u Copulation nt.tttTTitit tl'N Ntit I'gil ?tx ft'?'7.1 ittxt)Ur ).ln .1ujg'lnil i7?nil-l.9it Elt.tt uttpnil iTTItit-l'git .ilsiTrT [.-13'l ]t -l'It ''ttt liilj tTt tntN)ntil ,Il'7'ui7lN ilni7l

(n')'uplNl] !.5'l lit) ft..JlSuit !'gllil il'ult) 3-n tltln l'gil 'uSnNrl 7.>)il :Il.lt9u ilni7t ?tx !..).?i ;lll9ltlril nlll]j tltnll CorpusSpongiosum 'ltguit cltlit NliTl I lnnnil E "'?' nnil o' n .-,i,
]

i'J

;f 'Hi':#;oj

T,

i; ;:-'::l'i;;JI.;J'T

illnn

,TunicaAlbuginea

iltu itllT r'ltllt'9

it9'uut Eiluu >'7) 7l

.n'n'19 nul !'l3l'u CavernousSpaces n'77n ?u 11 lsUnT ilniTlil I{elicine t'.lt9uit !.9tlil nN t'175unul !.i7tilJil ?t1] !.'9'10 !.9llJ E-rl il'7)nn 7u t'iln 't7n !.tUl9Nltt t7N Il.77t ltnT !.TtIl91 Arteries lsiTT lnll -1 [.'][l]lil !il ,!")lu?n !'u]l.lil til CorporaCavernosa -1"i7lulil .l'9il tllltlll n'NJnlUi CruraOf Penis :U'i77n il0ll?Ul 't7t n''iTtulfl l'l Ninl CorpusSpongiosum -'.ll9uil rl .l.111 .Glans rnullnl Cylinder-7'7li-l ,l'git urttulltu p?tit Bulb ullTllil ,!"i7tutit .luJ l.tul uiTujt ,l.git cl tl )tlJ .ttnNil i7?Itt tltu ?'?ll nN l3t't tttnn >,>)n '7uu'lit itsl7t 7lN !'-j71uliln tll.t' 13 Nlil P7nil .n"iTttilit 'lr1l 7t! .7uIl'Tit nii77 iluln nttnn0l Glans nluuil nr9;r Nsnl il1uIlit it3i7t ,tNt'1\i] Nl17t 7.2)? ittuxi-r l'l lslnil .illglUlil ?tx' I lJ'rlil

29

Root of Penis I '

,

il

till

I tll

i7'nil tllJ n0lP 7R lllnn I -Il ni . Superficial Perineal Space- I Nsn l .Uitll't Bulb-it itNt CruraofPenis-n 'lul nN ).fn -lttut IschiacTuberosity -n r'? 7'nrn CrusofPenis >) Tlni iln'Ti7 tnuJl ,IschiopubicArch i7.nnt nutit rtnsu nuiT ?rL: iTtnun E.19il nuul? Crura-il' ltll Pubic Symphysis-) nnnn .Ischiocavernosus- it I'tiut !. giTtn ,l.gil clli 70 'n-Ii7n t?nl !.1'ulnnt !'ul!l . J' 7u Eltuut n.Tu.l.ttttRit n9tJt0? - il n'l.luil tlt|Tl Bulb ultTtln . Ut l Ulit irJi77 iln'Tp n"! 7-2-) nt-iITt ill9Ir.un ,Bulbospongiosi l'9n qll
Pubis

ill lgil Il'19il nUUJ Nli'l Dorsum - l.git t-t .il?tnil ,'U9tnn t?nil Rtit ,lt) ?tu nunil tj7'u .it9i7It tN 'i lfnt iln.Tp clllil 2'7) ,Il'J-isiil '7Ttt-Iit luln '97t n'ltluj '9it lt'91 ilttl I'git t-i7tuJiln i77nil nN .!il'llnNn uSTlNat .t i7l NSnl ..tt90it

,l'!i]

llu

ntut?t ).ln ,ilitl 1 t)>n ,i7T l.git tlu .-ttut y'tttn ilutfn l.9il ltl t'lgit nuutt ltul .'Ttn11 rlrl nlnt lul segma ?r t: nN nilJ.t5nil l?n itNtl .Jl.lgil iTUl ?Ut Raphe-l !u 'lunil MedianRaphe -'lN.lTl f.tt ,illuu) iTTn ltnSt '7'7lit lln7 11'[]gtn iltt:t tl.ttn ttufl ,t'lurNit ilTluil ,Prepuce (Foreskin ) il7tDn - ttu )sii NJn r iltuuit tNt ti tr TRI ExternalitlgtuJit )tu 'I ty'nil nngt . itlgtu:n rt9 nNt ntuui-t nN ilutn lRlJl lllgltllil nllg l'l 'TlUlllil -I3l .lttRn NtitUrethralMeatus ,Frenulum It.lu.lil 'ttt -ltx 7sp NJnl l.git .l'!il nl'39
lnlUl nniTl ill I'N ,n'lUJNil iTtll 7tu Dartos-7 n'tUTlil fl'ttU-ntil it.tgit ,l7n l'l-UJ 'f.'u tl]l lN 22tr tltit' lit'l'tt itiTtnuit il'J9it l:tNsnl rtlu-nnn n.J!7 iTtnl; nNtiTtt ili7In n.uttl.'9 ilni7tn il.tlt nttnxil it.s-gi-t ..?N'\li3'l I nllSl ,n.7'?-t ngUUn nlit. N.il ,Buck's Fascia iTRt liX ?X il.Sgit l'ulnn N? 7t I tuit . 't t guit qt lit nN'l D..i7tUtil nR Tn.l qutxrx ?'l ltrx n19ttn nujtTu 7u: nll7il ilj7r I tun tu ilnNnnn il.3git N?N , ittuu) rl'tx'ltI?'l n'7RU'l I tttNit ilntl9N.T) n)un? n-rnil it.Jgit ,I]'.7.71i] E'l'ltllil nN nsUlU tl, N'il .IschiopubicRami 17'nilt tutit ntniU 2u .ili7tnI]il1 n'nuujit nt.sgn l.t
,Ischiocavernosi -itt Bulbocavernosi-it lllUil ,nlgltlll lJllT )U illiinl .7N.tlut9n 7?nt tlusnt l.gL tNtul

nrlgl ;19'uu nlntl ,l?Nl 7rx;-1.39? i7lnll nNSnl TunicaAlbuginea -it ?U U"iTtUln llu l'l i13.nnil nN nlsl''l E..llguil D'7.?.1iln lnR >)2 ?ttt iliT.lturtn -lnt. itu'nlt njil'tt9!n ltln 7u: itiT.ltuit ,.1.9 .i]l9ltxil )1J yfiT }]tln7 'Tl ,Il.'iTttiJit lt TNt l'97 nttttlliT ,l'gil nN IltuliTn nutSt 'nul l'9 )UJ !.ulnt'7it l'9il nN nT'nsn FundiformLigament -il .,l.!it clt M tLnt0jit 7tx UJ)!nil n7\9nn ,LineaAlba -iln nNsl' ,RectusAbdorninis ttu.il t.tUJit ngUun) il?lnn ilutyti-l ,l'git Il3.nnt ilun?n nlntl I l.9it nN n!.i?n ,0..ntlj? Pubic-? l'9il IIN il-I.nin ,trit. iTtnU nNint SuspesoryLigament
.

Symphysis

30

:InternalPudendal

.It.l9i-t

it't

ttuit 17lilJ 7uJ t'9llJiln l'57 !1il

ni79uN
1

; 'l l30il ql ll nllllJ urethral A. illg l tuil i7l lu . Elttl I'urnnr utt)trt tltu ArteryofTheBulbofPenis ullTllil ?llu .2 ; 'l'l gUil ,l'9 ?U Etutl-It ttilJ DorsalArteryofPenis I'gn ?u '?Tl'l I ?l'lll .3 ; i7t [i]"lJ it'397 il t nl l'illnnl Crus-? Ulll DeepArteryof ThePenis l'gil 7tx iTlnx iTllx .4
; CorPus Cavernosum

i]'.9tuit tn.9lu .!-.f tglit n.illtl-t nut)tx) !-I !'i79un 1")l n'jTlllJ

!'

Nr17

r7 r' 7r I en oX'

"l',';iiJ-

lil;;t ililil..:L.tLlL'^,i.;';

'T-ll Tli7"l EUnl I'gil ll? nTi?lnn0J n1J'll nu?i7n? !'TiTllln l"llguil !'9llil !.'i7t0lil l't tltuul DeepDorsalVein l'!il ?ut i7lnuil 'l.lil T'll7 ,n'ltnllJil ?ul n'T'1lli] n]j?Pn? TjTlnnl IiTlnnu Super{icialDorsalVein -2 t'TiTlnn n'tlu-nnil ilniTlnl lluil 7u 'nuu T'll7 GreatSaphenousVein ll'il nljugnil 7ul IlliTlnxill nl'nuuJil n9n'? nl'-ltlliT? - 'u9n'? IliT'l .External IliacNodes -? I ll Superficial & Deep Inguinal ,llNit 7U n.nt I tU'tRit nx)i7nill
Pudenal

nllxil l\U 'slI]n - l'llsu

illuu? li7'ul ,l'5il lluT 'DorsalNervesofPenis .1 qtll. !'l'ixnnl ull?lll u'ulll Perineal I.{. )uJ !'i7'lnu !'9.1! __? illglUJil nN l'i7gun ,'llguil 0'iTttut n'ltg!it nniTtit r]N !.i75,un ,E"nlllulN ,CavernousNerves .3 .!'?"ul7lNil Il' 9l lil ?tl
Bulbourethral Glands

illglulill UIl7'l lil

?Ul nlU'l?Lil

nguluil llnl nlniTlnn ,n"u 1.5 x 0.5 211)l fl1Ul?l 'nul ,lj3nRil 'lji 'J3 'luln ,nlgltx ll'luil l'ltllil 'l'u l'l ,n'?u'l.lll'lN;:l ttnnSl I uttTttit ltT ntttt}] ntutTtil ?ur nlll l'3 , illgltxil 'llrNn .l'nu ?Ill Illtlj'l9n .ill9ltll7

31

IilNl'-tsitt ltNit

7u:

"ntltutNit t'l lsuit ,3 iitE

ilutgn'u ttultul ?rx .?ti7un j7)tit nN n7)tt l.tNl n.nt I tutN nltun I I lSu >lJ n'NlrlN , (Craniosacral) n'ungn'ut q itttun ?u . ?t j7!it i7?nil I ?llxn lllS 7ul '?uu'-Tit iTTItit't ttNi'-tgilt llNit .tlN ?ttt 'ntltutN .'tnttil .!nil ?u: n.7Nnuil itttuiT)9it iltt l7 TU T'Il' NliltlJ Sup.HypogastricPlexus :flt'nt I tu'lN ntD?j7n ult)Ul ntst.
,

Inf. Hypogastric ' I tll I

4-n il' I I I lt'?ti:on ilunqn'ul9it ntutilJil SacralSympathetic Chain ,ulliTu 7tt-t D"n-Ii7it n'nngn T') E.riTtnn E..ltI t'lt,>)l) ,Coccyx T'7 (Ganglionlmpair) .ltI 'n)t Ntit 't!.nnil lt.?.tl.titt GrayRamiCommunicans !"ll I'?i l.1u0t ! !.tulpn !. 9lu tnt ut ntuttilit ,tr-tit .)lt I'lu? lttSu niig!n !nilJsnNtt u'-?tiTufl i]'l3Dit ?l?

ilu'.tnil

SacralsplanchnicNrn.

D..lll'?.1 lJlS t'5lu ntnll N.it lutll u''ungn'u !'glu

Inf. Hypogastric Plexus-?

!'ntln

ilit rlN u'ltt'?llll3

LumbarSplanchnicNn , Hypogastric Plexus Sup. - ?

Inf. Hypogastric

ErgllJ E'n)luJ ,52-4 n'?lu) lliTl t'Nr- SacralParasympathetics !'u lop)17 u'u' tnil Pelvic Splanchnic !. 1t I I .?l l.tt! ,E'll'Nit nt I9-It tN/t r]'ut0i779t !.Nynl u'l'l .7.1 llit .Sup-l

ill'nt
?ttt it'ii7t I g'lit

tutN t'u'tui779

!'llnl7

r'7 nRsn I , n') 'l I N7 nl:)i7n , Sup. Hypogastric plexus !'uu9n'Il D'.1'u n7li7n .Inf. MesentericPlexus-7 lilJnilt,Aorta E'l'!t Lumbar Splanchnic Nn-t Sacral Splanchnic :n..?ti?Ut

Lt&Rt. Inf.HypogastricNn !'1311 .lru t.N3t' nx?i7nn ?u l lnnnil il3i7itTl ,Inf. HypogastriPlexus Ts 7lt o'-tit'l tul.it 'l;nn '-Tsn l)N7 Il'Ttt'ul !'9llJ l'NJl' !'ul0iTTgiln ,SacralSplanchnicNn n'gtUsn t7N nill?i7n? E'Jll' D19lUl,(Hindgut) ilTlU Ul'Un,l.ttll.0,t6J.it'In? n'?tU .Prostatic,vesical,Rectal,Uterovaginal :l.tRil .-ttN l.lu nilj?i?n !.lst.ul fl1.7-t3Il't ntTtllg ?ul 1ntlil3tN t.ll31l
,

(Defecationt itRt 3 rl?rtit

nu'lf IllJ .;t1l) ut I lut I'nn n.Nsul t'?lNn il?unil ?u.t u.tui7l.9uit E'lJlJ !U llllJ 'lllil ,rlllsTil 2D Pn7 tJtl !'lui7t) (Faeces) itNtsit l3l I .t"7li7! E'ulntuT E'.ut9n.ut9 n.lJ!7 D.l t7nnil !'.1'tul! 2)n nN tit.t ItuiTtit lgt] .t''tul tN ?'Dtnil 'un!n.019 .tt.t ltltu .u'tuj7l'9un n"9tit nN nut1T itNtS nTtit ,'u7u0'15;t .PudendalN.-iln Inf.Rectal -'ltStit ,.un9n'Il - .ltJt RTit tujTl.gun

JZ

(Micturition

) I nu r?nil

1-1.5

lu ?':it? it?tt'ur lnurit t.ntsTur ltn?'T'Ilt lgtRl clugun lnuit .t7n urJ ,lnil] lu'? !'nnnl ttls-rn j7"nu 300-1 7un ilnrs?r!il nt 91it? l'13 t't'l !?0lit nN I i7I t) . -il , Ilt N?nnt ?ut ilut nn? !.nt t.t I rN nl9lil)l 'JtttiTit itj77n nN q.i7nil ilt!tuit ?uJ .I tStit tuiTt'9uit r]N lNllS ,nTlt'it't9tit l.lRit ngljtu turRr ,(LevatorAni) l.1Nit rilrjtu qlul .Pltlnn Detrusor-it ll n'lli7ltlt ilun .!?l lujnl n.tl5)ulil niT0enr n'nre?rxir rNr r3 nnril? rnrrr Levator#l#:ll;il,il]::l tlJ : (E'i7|tUrt ,ittlit .t0ttn ,n'liTt ln 73N) ui7?!t nilJJnNl it?u!il 'ungn'uN-]9 'ttl ltl'[] rllut! 'lll l\tl t'ntc?Uit nlNTnnil
Detrusor-n n?Xgnl

N7 luiT l

, ( Ntln " un9n'u ) 'un9n'Ilt 9 -Detrusor l'l lSlJ ,Pudendal-n PerinealN.-' I tst tuiTl' g! ,.un5n'il-'ll\l

'9u

ll'Ilil 'llN lll3ll lllSlJ i79un ,n'tNl.tq 7u 'li7"Iil 'UnlUil lSlJil Nlil PudendalN. ,'l'nil'll'll lnll'uln lNln !'.113'nil llnn 'ttN? 'll!l! ll Il Prostatic t'Ill UiTTsnn !lNl'197 !'IJ'.ln t'.nl I lulN !'.]3lJ , .illiTlt Uterovaginal
,(Copulation

r"ull)
T

?.luin-Coitus

NliTl nl.l I llTilil l'?iln

'rtIl , Ejaculation ill'guln'l Erection il9i7 il :E'lTul ' I tlll Il0lnlnn rl I I I tlTitil :!'7.ui71Nn I]'9t.tit 7Ul ull ntNTnnil 7u itNstnit itl'it Erection ilgiTTil 'ungn'Ul9 " l-l - i nulllT nSiTTil . Corpora Cavernosa-l Corpus Spongiosum Cavernous !'??nil ltn? E-I )u] nt'iln ilntTilt !'i7tilJit ttntil? !l'l lil ?l pn? 'J' 2l) lJlnl l'9n ltnn ttlit itt'l lnT tntNt ,l'91 Spaces fl'l'ltllil rllslllnn lll ,nlfl'UPrl n'9llil Illg'Ull -i)ll l'5n 'l'll ,'T'II TIl?'I? itxtgit "'! ntTtll Ischiocavernosi-l Bulbospongiosi n'lTtr r I ut nulnttn Eiaculation ill'gtllil utln ttlljit -E_miuiqn (1) 2s -:lTlJit 'ungn.u 't-l ' nnn u:nttn nT t)uj .ProstaticUrethra t!1'il ntut?t ?u !.t.tulil ul ,ut Iit .ltT I lnt 'u7uu'19 , Il't3l'nil u'7T I litl Il.3t tlnn,Seminalvesicles-l n' I tnll-lit I]ulTl l .'Tu ntgttilit )tx . l'13-tit tuiTl' guit, itMtx) !'l5ull l it'T' 7u ?tx 'l'tst NTl -tui7l'guit ut .utTit ttnliTnil lJltnt ytlln jnu nu.rr llrtnr prtrn ,lnujir n.nre?ur rNlr! T.t
n- I tntuit nlgttxT u'Tt.J.T'gN'i E'lulNiln

:l];]Hi

'I l'I Lltll 'ltljl I -i ilT r)ur . ul Tn nNYl fl - Ejaculation Proper (2) n.1 .'ur9n'uN-]9 l'5it Ultttllt lNit ng!t! 7t1l !" I t3til !'l'ltllil ,ljlTfl nNStitl ['lTlul n'nll'l ]ll3'l llnill In]')11

illiTll
ntN?nriitt i7'nltl -t-t ?rx tttr tn ilut!it) utt I 'uugn'!19 'lll
I J T.l ril ?tll

r'7'uiTlRn

ilni7l

JJ

r1l:i:r.:ii?rr;:r , '' r+:i:i--- -;-- ::. ..

.

ffi
Fro. lZ!.-MEle Pelvls (atlult).

of outlet' > \.,

,r

tf r'rt jfr;?ff&if ;',i""f'3: $lli Xtilll :

FOR
QUAO. LUH B

A.5.5P.

FOR ERECT(

SPINAE
TU B EROSI'

P.S.SPINE

A.I.SPINE
ILIOPE

AU RI C

ULAR
RFAC

CT.

SU

ILIO. PECT.
EMI N.

hCLlAbu,u{i1

A;;.^-t
SCIATIC
ACR OI

SPINOU
L

sACRO.TU BE ROI

FALCIFORM PROCEsS SPIRAL MARGIN OF OBTURATOR FORAMEI FIc. 358. Inner n:rfaib*of hip bone
\
i :: :!;. . :I" r:;trr.,,r;Ji
! 1;" ' .r,:iL::.,1 '. '.' j -,1. ..-i;:' ' '\.: ' -.-:, . ,..

N\O
,
.

r'n

:, 1

' "-,

..

jr'

a-

\ I ,,T\
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\iqament

r) .\ \^,-, I --l YJ \ r\\ \\v,/

. ^
i

1\S\
Abdominal aoda

N\edianY) \

I rl5

WW
^\
Fundus
(bas
e
I

r\" Ca\
/^Jt. -\

Pro s\ate

d'Si^IB4 \
A'

prostatic f titl/
,,

\"'

i\tc iusifr'lrnr lrrt. Nor':

,, brrtrtr,:r.

o.-T,':t'.tl':
RetroPuots

Fiorrrt J'31'

-=-'-Pelvic

cavitY

-/\z-.--r /-/\
Fascta

ffffi '-ffi
!:Wlr
il"n
Pelvic diaphragm

peri

Loneum

tt
Pr:denda[ ' sanal \schial
,,uberosity

nlql,bN)
5AG -

NO
s-2-:---,
-t/ .z _,a u

yuor5.

\u

o"i"""tt"

!:r';"1$

'-"i::T"'':.::il,:lU*il,
,

-"*;i'0"'\qJ
1.\t\)
''- i r\ --'l \i I ;$d\ l
.r

i,;!,tffiil+H,'*tH:iJ:'n$"*"

Retr

oPublc
s03ce

s'*sk
B

anlil nly]r']
Posterior

Round Ligarnent

Utero-

acral Li garnent

Ve sico-Uterine Li gament

Recto-Uterine Li gament

Left
Suspensory Lig. Of Ovqry (nfundibulo-Pelvic)

Right

Ovarian Ligarnerit
road
igament

ardinal igarnent

IA lf
c.,

SSn

-,t t lg-.

7\

4 lio
R.tcruuTLRtNf I C DoutGLAl)
P

d\oJK'

Rt9to,.l ,sl cr^,w e

Pe tuc tt

0U-ctl

nsi

t
F.

eT,R-s

poar-

?4d:?ii"l,".l

iiar section

1!:

O O:'l I
:O

r6
0

6Tug6'ipx

ra
rU rY ---

'FoB,4

hv

l -T'
.n --/'4;,-/Ia 1V

Plane of fronial section inC

\_:/'

LtuaTo{