Deborah Monteiro Soares MD, Presenter: Nothing to Disclose

Natalia Saraiva Coelho MD, Abstract Co-Author: Nothing to Disclose

Romulo Varella MD, Abstract Co-Author: Nothing to Disclose

Leonardo Kayat Bittencourt MD, MSc, Abstract Co-Author: Nothing to Disclose

• Lateral Cervical (Cardinal) Ligament: Extends from the cervix and superior vagina to the walls of the pelvis, transmits neurovascular structures, has an important supporting function. • Uterossacral Ligaments: anchor the uterus to the sacrum, include autonomic nerves, also with important supporting function. • Round Ligaments: Arise from uterine cornu, attached to the labia major, limiting their mobility, ensuring the orientation of the organ. • Broad ligament: Created from the two sheets of covering peritoneum, extends laterally to pelvic sidewall, transmits autonomic nerves, helps to ensure the position of the organ. As a result of the peritoneum enveloping all abdominal structures, there are two blind ending invaginations around the uterus: • Vesico-Uterine Pouch is used as an extraperitoneal surgical cleavage plane. • Recto-Uterine Pouch a very common location for drop metastases and endometriotic implants.    

• MR Imaging Protocol • Anatomical review of the pelvic floor with emphasis on ligaments and spaces using Magnetic Resonance Imaging. • Defining supporting structures and the main compartments. • Identifying key alterations in supporting elements and spaces of the pelvis: Leiomyoma, endometriosis, herniation, infection, hematoma, neoplastic invasion and metastases. • Pitfalls and technical issues. 

http://abstract.rsna.org/uploads/2014/14018842/14018842_b5zn.pdf

Soares, D, Coelho, N, Varella, R, Bittencourt, L, Hang Tight: A Review of the Uterine Supporting Ligaments Based on MR Imaging.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018842.html