Fig.1. The ducts, commencing from the
lateral aspect of the pelvis, curving forwards and medially, to the junction,
with the gubernaculum of the ovary, this meeting point splits the gubernaculum,
into a proximal part called ovarian ligament, usually short and a distal part
called round ligament, longer, which terminates in the deep inguinal ring as
a ligament. The right ovary is partially seen below in the midline and the ovarian
ligament is seen fusing with the uterine nodule and continuing
upwards, as round ligament to enter the right inguinal canal. To the
right of ovarian ligament, close to the nodule, a rudimentary tube bit
can be seen. (the four of them, forming a + sign).
Fig.2.
The same case, as Fig.1. (above), showed on the left side, the ovary entering
the left inguinal canal. No nodule and tube seen, but the ovary shows below
some tissue suggestive of fimbria ovarica.
Fig. 3. &
4.
The round ligament is seen on the
upper margin of the small uterus on the left side proceeding to the left,
taking a ‘U’ turn and ending in a sac over the left inguinal region
overlying the ring.
Below the uterus one can see the left
tubal end showing a fimbrial cyst and an ovary with attachment of fimbria
ovarica. Towards the right the junction of the bilateral nodules are seen, with
the left one dipping into the POD while the other on does not dip and shows a
small nodule. There is a bigger nodule on the right side. (two nodules on one
side) seen in the next picture.
Fig.3.
Fig.4.
and the ducts become tubes.
The right duct after meeting the
gubernaculum of the ovary is becoming a tube.
Fig.5. The
right round ligament is seen entering a sac and the right ovary is
partially seen below the tube.
Fig.6. The right round
ligament is seen entering the inguinal canal along with other tissues.
Fig.7.
The major portion of the left ovary is within the inguinal canal.
(1). Mullerian tissues. – may be
(a) formative Fig.8. & 9.
(embryonic structural precursor) or
(b) definitive (mature – filled with tissue).
(a). mullerian tract framework.
Fig.8. The
outline of the mullerian tract is seen without any fibromuscular tissue. On the
right, the tube is beginning to form.
Fig.9. Same
as above except on the left, the tube is beginning to form.
(b) definitive. (mature filled
with tissue)
Fig. 10. The
picture shows (a more developed generative tract) the two ovaries with their
ligaments attached to the bilateral uterine nodules and continuing as round
ligaments to the inguinal canals, the transverse bands stretching across
the pelvic cavity, to fuse in the midline (no hump or expansion suggestive of
uterine formation) and then dip and merge with the apex of the uterosacrals,
(seen as a rainbow like arch below) with no fluid in the POD.
[This meeting point is seen in
the adult as three discrete points (Fig11), (Fig.12)
& (Fig.13). – the ovarian ligament ends at a point posterior and
inferior to the tubal take-off and the round ligament take-off is seen below
the tubal take-off at a short distance. In other words, this single meeting
point has become a tripod within the corpus. At this stage, we find that the
round ligament is anterior, then the nodule and tubal take-off and finally the
ovarian ligament (so, if we find the ovary entering or on the verge of entering
the inguinal canal, it stands to reason the structures anterior to the ovary
would have entered the inguinal canal).Rarely, during development, this meeting
point, which has been pulled towards the midline and into the corpus might
result in unusual length of tube (seen in HSG)].
Fig.11.The
three points, mentioned above, can be made out easily on the left side. The
left nodule shows the ovarian ligamental attachment to the nodule and
continuing, as the round ligament on the opposite side and the tubal take off
on the left side of the nodule.
Fig.12.The three points, mentioned above, can be made
out easily. The ovarian ligament’s meeting with uterine nodule can be made at
the lower midpoint of the nodule whereas the thickened round ligament on the
left and, below and behind, is the tubal take-off from the uterine nodule.
Fig.13. In this
figure, the ovarian ligament is longer, than the round ligament, which is
thicker.
Fig.14.The
merged transverse bands are dipping as a broad band to merge with the
utero-sacral arch.
Fig.15. The
bilateral transverse bands fuse in the midline but do not show any dipping
towards the utero-sacral ligament below. Parts of both ovaries are seen.
Fig.16. The
transverse bands are tapering towards the midline but are not dipping to the
widened utero-sacrals.
Fig. 17.
The picture shows a developing uterus in the midline and a separate nodule on
the left side with its tube and ovary.
















