1996 



HUMAN ANATOMY. 



because ot direct trauma. The pain is otten nauseating and may be felt in the breast 

 on the same side. 



in spite of its small size the ovary gives origin to a great variety of tumors and 

 cysts which may grow to enormous proportions, filling and distending the abdomen. 

 As they grow they at first crowd the uterus and other pelvic structures towards the 

 opposite side ; later they ascend into the abdomen, drawing the attached structures 

 upward with them in their pedicles. The pedicle is the base of attachment, and 

 consists of the same anatomical structures as those by which the ovary is normally 

 attached. The relations of the structures making up the pedicle to one another will 

 vary greatly according to the manner in which the tumor grows. This relationship 

 should be studied carefully to establish a correct diagnosis as to the origin of the 

 tumor. The anatomical structures involved in the pedicle are the mesovarium, 

 mesosalpinx, Fallopian tube, and broad ligament. 



THE FALLOPIAN TUBES. 



The Fallopian tube (tuba uterinae) or oviduct is in principle the excretory canal 

 of the sexual gland, the ovary, since it conveys the ova liberated from the Graafian 

 follicles to the uterus, into which it opens. The relation between the ovary and its 

 duct, however, is exceptional in that these organs are not continuous, but only in ap- 

 position, the ova liberated from the ovary finding their way into the expanded end of 



Fig. i6q4. 



Sigmoid artery 



Internal iliac 

 vessels 



External iliac 

 vessels 

 Ureter 



Suspensory 



ligament 



01 ovary 



Right ovary 



Fimbriae oi 

 oviduct 

 Ligament 

 of ovary 

 Oviduct 



Round f 

 ligament 



Sigmoid 



flexure 



— Rectum 



Utero-sacral 

 -: ligament 

 —Left ovary 



Ligament of 

 ovary 



-fOviduct 



Round 

 ligament 



Uterus, 

 fundus 



Bladder', 



Pelvic organs of voung woman, viewed from above and in front ; hardened in situ and undisturbed 

 Fimbriated extremity of right oviduct lay in position shown and not m relation with ovary. 



the oviduct. This canal, one on each side of the body, lies within the free margin of 

 the upper division of the broad ligament, known as the mesosalpinx, and extends 

 from the uterus medially to the ovary laterally, in relation to the inner surface of 

 which it ends after numerous windings. 



The entire length of the tube is about 11. 5 cm. (4^^ in.), although variations 

 from 6-20 cm. (2^-7^ in.) have been observed. Emerging from the lateral angle 

 of the fundus uteri, in the immediate vicinity and just above the uterine attachments 

 of the utero-ovarian and round ligaments, the first part of the tube is narrow and 



