During an ovariectomy, the surgeon clamps the fold of peritoneum extending from the pelvic brim to the ovary. Which structures run within this ligament and are at risk of injury?
- A Uterine artery and ureter
- B Round ligament and ilioinguinal nerve
- C Ovarian vessels and lymphatics ✓
- D Obturator vessels and nerve
Correct answer: C. Ovarian vessels and lymphatics
Explanation
The suspensory ligament of the ovary (infundibulopelvic ligament) is a peritoneal fold from the pelvic brim to the ovary carrying the ovarian artery, vein, lymphatics and autonomic nerves. The ureter crosses the pelvic brim just medial to the ovarian vessels here, so it must be identified before clamping. The uterine artery runs in the base of the broad ligament, not the suspensory ligament.
Reference: Gray's Anatomy for Students, 4th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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