AnatoMemory

Ligament

Suspensory ligament of the ovary

The ovarian vascular pedicle from the pelvic wall

PelvisReproductive system

High-yield

The ovarian vessels approach across the pelvic brim in this fold. The ureter lies nearby on the posterior pelvic wall, making the relation between the two important in adnexal anatomy.

Overview

The infundibulopelvic ligament is a peritoneal fold containing the ovarian vessels, lymphatics, nerves and connective tissue. It connects the upper ovary and adjacent tube with the lateral pelvic wall. This vascular attachment is distinct from the ovarian ligament connecting the ovary to the uterus.

Reference facts

Attachments
A fold extends from the tubal pole of the ovary and neighboring infundibulum toward the lateral pelvic wall near the brim, enclosing the approaching ovarian vascular bundle.
Function
It carries the ovarian arterial, venous, lymphatic and neural pathways while providing a connective-tissue attachment to the pelvic wall.
Clinical point
Its vessels form part of the pedicle involved in adnexal torsion. Their proximity to the ureter explains a recognized site of ureteric injury during pelvic operations.

Clinical correlation

Adnexal torsion twists the ovarian vascular pedicle and may obstruct blood flow. Pelvic surgery near this attachment also places the ureter at risk because the vessels and ureter occupy neighboring, variably related planes.

Frequently asked questions

Where does the suspensory ligament of the ovary attach?

A fold extends from the tubal pole of the ovary and neighboring infundibulum toward the lateral pelvic wall near the brim, enclosing the approaching ovarian vascular bundle.

What does the suspensory ligament of the ovary do?

It carries the ovarian arterial, venous, lymphatic and neural pathways while providing a connective-tissue attachment to the pelvic wall.

Why does the suspensory ligament of the ovary matter clinically?

Its vessels form part of the pedicle involved in adnexal torsion. Their proximity to the ureter explains a recognized site of ureteric injury during pelvic operations.