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Internal Iliac Artery
The internal iliac artery (formerly known as the hypogastric artery) is the main artery of the pelvis. Structure The internal iliac artery supplies the walls and viscera of the pelvis, the buttock, the reproductive organs, and the medial compartment of the thigh. The vesicular branches of the internal iliac arteries supply the bladder. It is a short, thick vessel, smaller than the external iliac artery, and about 3 to 4 cm in length. Course The internal iliac artery arises at the bifurcation of the common iliac artery, opposite the lumbosacral articulation, and, passing downward to the upper margin of the greater sciatic foramen, divides into two large trunks, an anterior and a posterior. It is posterior to the ureter, anterior to the internal iliac vein, anterior to the lumbosacral trunk, and anterior to the piriformis muscle. Near its origin, it is medial to the external iliac vein, which lies between it and the psoas major muscle. It is above the obturator ...
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Common Iliac Artery
The common iliac artery is a large artery of the abdomen paired on each side. It originates from the aortic bifurcation at the level of the 4th lumbar vertebra. It ends in front of the sacroiliac joint, one on either side, and each bifurcates into the external and internal iliac arteries. Structure The common iliac artery are about 4 cm long in adults and more than a centimeter in diameter. It begins as a branch of the aorta. This is at the level of the fourth lumbar vertebra. It runs inferolaterally, along the medial border of the psoas muscles. It bifurcates into the external iliac artery and the internal iliac artery at the pelvic brim, in front of the sacroiliac joints. The common iliac artery, and all of its branches, exist as paired structures (that is to say, there is one on the left side and one on the right). The distribution of the common iliac artery is basically the pelvis and lower limb (as the femoral artery) on the corresponding side. Relations Both ...
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Buttock
The buttocks (: buttock) are two rounded portions of the exterior anatomy of most mammals, located on the posterior of the pelvic region. In humans, the buttocks are located between the lower back and the perineum. They are composed of a layer of exterior skin and underlying subcutaneous fat superimposed on a left and right gluteus maximus and gluteus medius muscles. The two gluteus maximus muscles are the largest muscles in the human body. They are responsible for movements such as straightening the body into the upright (standing) posture when it is bent at the waist; maintaining the body in the upright posture by keeping the hip joints extended; and propelling the body forward via further leg (hip) extension when walking or running. In many cultures, the buttocks play a role in sexual attraction. Many cultures have also used the buttocks as a primary target for corporal punishment, as the buttocks' layer of subcutaneous fat offers protection against injury while still ...
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Superior Vesical Artery
The superior vesical artery supplies numerous branches to the upper part of the bladder. This artery often also gives branches to the vas deferens and can provide minor collateral circulation for the testicles. Structure The superior vesical artery, a vital component of the pelvic vascular system, stems from the umbilical artery, which serves as a conduit for oxygenated blood during fetal development. Emerging typically as a single vessel, the superior vesical artery exhibits consistent anatomical features across individuals. Its trajectory leads it towards the superior aspect of the bladder, where it branches intricately to supply blood to this organ and surrounding structures. In males, a noteworthy branch arising from the superior vesical artery is the vesiculo-prostatic artery. This branch extends its reach to the prostate gland, contributing to its vascularization. The consistent presence of this arterial branch underscores its significance in male pelvic anatomy and physi ...
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Obturator Nerve
The obturator nerve in human anatomy arises from the ventral divisions of the second, third, and fourth lumbar nerves in the lumbar plexus; the branch from the third is the largest, while that from the second is often very small. Structure The obturator nerve originates from the anterior divisions of the L2, L3, and L4 spinal nerve roots. It descends through the fibers of the psoas major, and emerges from its medial border near the brim of the pelvis. It then passes behind the common iliac arteries, and on the lateral side of the internal iliac artery and vein, and runs along the lateral wall of the lesser pelvis, above and in front of the obturator vessels, to the upper part of the obturator foramen. Here it enters the thigh, through the obturator canal, and divides into an anterior and a posterior branch, which are separated at first by some of the fibers of the obturator externus, and lower down by the adductor brevis. An accessory obturator nerve may be present in ap ...
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Psoas Major Muscle
The psoas major ( or ; from ) is a long fusiform muscle located in the lateral lumbar region between the vertebral column and the brim of the lesser pelvis. It joins the iliacus muscle to form the iliopsoas. In other animals, this muscle is equivalent to the tenderloin. Structure The psoas major is divided into a superficial and a deep part. The deep part originates from the transverse processes of lumbar vertebrae L1–L5. The superficial part originates from the lateral surfaces of the last thoracic vertebra, lumbar vertebrae L1–L4, and the neighboring intervertebral discs. The lumbar plexus lies between the two layers. Together, the iliacus muscle and the psoas major form the iliopsoas, which is surrounded by the iliac fascia. The iliopsoas runs across the iliopubic eminence through the muscular lacuna to its insertion on the lesser trochanter of the femur. The iliopectineal bursa separates the tendon of the iliopsoas muscle from the external surface of the hip-joi ...
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External Iliac Vein
The external iliac veins are large veins that connect the femoral veins to the common iliac veins. Their origin is at the inferior margin of the inguinal ligaments and they terminate when they join the internal iliac veins (to form the common iliac veins). Both external iliac veins are accompanied along their course by external iliac arteries. Structure A continuation of the femoral vein, the external iliac vein starts at the level of the inguinal ligament. It runs beside its corresponding artery and along the brim of the lesser pelvis to unite with the internal iliac vein anterior to the sacroiliac joint where it forms the common iliac vein. The left external iliac vein remains medial to the artery along its whole path. The right external iliac vein is medial to the artery, but as it ascends, it runs posterior to it. The external iliac vein is crossed by the ureter and internal iliac artery which both extend towards the middle. In males it is crossed by the vas deferens and ...
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Piriformis Muscle
The piriformis muscle () is a flat, pyramidally-shaped muscle in the buttock, gluteal region of the lower limbs. It is one of the six muscles in the lateral rotator group. The piriformis muscle has its origin upon the front surface of the sacrum, and inserts onto the greater trochanter of the femur. Depending upon the given position of the leg, it acts either as external (lateral) rotator of the thigh or as abductor of the thigh. It is innervated by the piriformis nerve. Structure The piriformis is a flat muscle, and is pyramidal in shape. Origin The piriformis muscle originates from the Pelvic surface of sacrum, anterior (front) surface of the sacrum by three fleshy digitations attached to the Sacrum, second, third, and fourth sacral vertebra. It also arises from the superior margin of the greater sciatic notch, the gluteal surface of the Ilium (bone), ilium (near the posterior inferior iliac spine), the sacroiliac joint capsule, and (sometimes) the sacrotuberous ligament (m ...
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Lumbosacral Trunk
The lumbosacral trunk is nervous tissue that connects the lumbar plexus with the sacral plexus. It is formed by the union of parts of the fourth and fifth lumbar nerves and descends to join the sacral plexus. Anatomy The lumbosacral trunk is formed by the union of the entire anterior ramus of lumbar nerve L5 . L4 first issues its branches to the lumbar plexus, then emerges from the medial border of the psoas muscle to unite with the anterior ramus of L5 just superior to the pelvic brim to form the thick, cord-like trunk which crosses the pelvic brim (medial to the obturator nerve) to descend upon the anterior surface of the ala of sacrum before joining the sacral plexus. Like the sacral nerves, the lumbosacral trunks splits into an anterior division and a posterior division before recombining to form nerves for the flexor and extensor compartments of the lower limb. Clinical significance The lumbosacral trunk may be compressed by the fetal head during the second stage of ...
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Internal Iliac Vein
The internal iliac vein (hypogastric vein) begins near the upper part of the greater sciatic foramen, passes upward behind and slightly medial to the internal iliac artery and, at the brim of the pelvis, joins with the external iliac vein to form the common iliac vein. Structure Several veins unite above the greater sciatic foramen to form the internal iliac vein. It does not have the predictable branches of the internal iliac artery but its tributaries drain the same regions. The internal iliac vein emerges from above the level of the greater sciatic notch It runs backwards, upwards and towards the midline to join the external iliac vein in forming the common iliac vein in front of the sacroiliac joint. It usually lies lateral to the internal iliac artery. It is wide and 3 cm long. Tributaries Originating outside the pelvis, its tributaries are the gluteal, internal pudendal and obturator veins. Running from the anterior surface of the sacrum are the lateral sacral veins. ...
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Ureter
The ureters are tubes composed of smooth muscle that transport urine from the kidneys to the urinary bladder. In an adult human, the ureters typically measure 20 to 30 centimeters in length and about 3 to 4 millimeters in diameter. They are lined with urothelial cells, a form of transitional epithelium, and feature an extra layer of smooth muscle in the lower third to aid in peristalsis. The ureters can be affected by a number of diseases, including urinary tract infections and kidney stone. is when a ureter is narrowed, due to for example chronic inflammation. Congenital abnormalities that affect the ureters can include the development of two ureters on the same side or abnormally placed ureters. Additionally, reflux of urine from the bladder back up the ureters is a condition commonly seen in children. The ureters have been identified for at least two thousand years, with the word "ureter" stemming from the stem relating to urinating and seen in written records since at ...
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Greater Sciatic Foramen
The greater sciatic foramen is an opening (:wikt:foramen, foramen) in the posterior human pelvis. It is formed by the sacrotuberous ligament, sacrotuberous and sacrospinous ligaments. The piriformis muscle passes through the foramen and occupies most of its volume. The greater sciatic foramen is wider in women than in men. Structure It is bounded as follows: * anterolaterally by the greater sciatic notch of the Ilium (bone), ilium. * posteromedially by the sacrotuberous ligament. * inferiorly by the sacrospinous ligament and the ischial spine. * superiorly by the anterior sacroiliac ligament. Function The piriformis, which exits the pelvis through the foramen, occupies most of its volume. The following structures also exit the pelvis through the greater sciatic foramen: See also *Lesser sciatic foramen References External links

* * (, ) {{Authority control Anatomy Bones of the pelvis ...
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Common Iliac Artery
The common iliac artery is a large artery of the abdomen paired on each side. It originates from the aortic bifurcation at the level of the 4th lumbar vertebra. It ends in front of the sacroiliac joint, one on either side, and each bifurcates into the external and internal iliac arteries. Structure The common iliac artery are about 4 cm long in adults and more than a centimeter in diameter. It begins as a branch of the aorta. This is at the level of the fourth lumbar vertebra. It runs inferolaterally, along the medial border of the psoas muscles. It bifurcates into the external iliac artery and the internal iliac artery at the pelvic brim, in front of the sacroiliac joints. The common iliac artery, and all of its branches, exist as paired structures (that is to say, there is one on the left side and one on the right). The distribution of the common iliac artery is basically the pelvis and lower limb (as the femoral artery) on the corresponding side. Relations Both ...
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