Round ligament

Laparoscopic catheterization of the ronnd ligament of liver was condncted in 16 patients. Catheterization of the cellnlar tissne of the ronnd ligament was performed by its centesis with a thin trocar at the point of projection of the ligament on the anterior abdominal wall and gniding of the catheter with 1-2 mm diameter to the depth of 5-7 cm. With snbseqnent introdnction into the cellular tissue of the round ligament in a single step or by drops of 0.25% solution of novocaine, broad-spectrum action antibiotics, spasmolytic, antihistamine and anti-enzymatic preparations and cytostatic drugs in qnantities determined by the severity of the disease. The duration of catheterization was 6 1 days. 

A mesothelial cyst in the round ligament has been attributed to ovarian stimulation (39). 

Ryley DA, Moorman DW, Hecht JL, Alper MM. A mesothelial cyst of the round ligament presenting as an inguinal hernia after gonadotropin stimulation for in vitro fertilization. Fertil Steril 2004 82 944-6. 

Some of the aches and pains you ll experience in your third trimester will make their appearances now. These include round ligament pains. These ligaments support your uterus. The pains can be quite sharp and scary when they first happen, but they re normal and nothing to worry about. Sometimes you can feel them when you sneeze, or when you move too quickly (like when you stand up from a forward bend in the beginning of a yoga class and aren t warmed up yet). Some women like to rest until the pain subsides others say it helps to keep moving. Either way, the pain will dissipate and you ll know better to slow it down the next time around. 

Fig. 2.1 Views of the liver anterior, posterior, inferior. (LL = left lobe, RL = right lobe, D = diaphragm, GB = gall bladder, FLV = fissure for ligamentum venosum, RL = round ligament (= lig. teres), IVC = inferior vena cava, FL = falciform ligament)...

Close to the round ligament of the liver, the lower liver margin is somewhat drawn in and rounded off. There is a circular to oval, precisely circumscribed hyperechoic... 

Position 2 Inspection of the right upper abdomen with the upper body raised in left rotation (= right lobe of liver, gall bladder, round ligament, falciform ligament, duodenum). 

Fig. 8.1 Frequently recorded reduction in density in the area of the falciform ligament (here 11.4 HU) resembling fatty tissue (possibly a round ligament ) (s. pp 127, 132)...

Apart from the classic pattern in which the uterine artery arises from the medial aspect of llA, there are many other variants that have been identified (please see Chap. 10.3). It may also arise from its anterior or lateral aspect of the IIA [18]. The origin of the uterine artery from the main IIA itself or from the aorta has also been described [18]. A common trunk between the uterine artery and vesical artery is another important variant that might lead to inadvertent vesical ischemia in cases of non-tar-geted embolization [19]. The uterine artery may also duplicate as illustrated by Redlich et al. [20]. The ovarian artery represents the second main vessel for PPH [21, 22]. The ovarian artery that participates in uterine blood supply could represent the major feeding vessel to the uterus as demonstrated in UFE literature [23] (Fig. 9.2). Recently, Saraiya et al. illustrated uterine artery replacement by the round ligament artery during embolization for leio-... 

Fig.9.3a,b. Right iliac angiogram showed collateral pathways from the artery supplying the round ligament after embolization of both right internal iliac and uterine arteries... 

Saraiya PV, Chang TC, Pelage JP, Spies JB (2002) Uterine artery replacement by the round ligament artery an anatomic variant discovered during uterine artery embolization for leiomyomata. J Vase Interv Radiol 13 939-941... 

LeDref 0, Pelage J, Kardache M et al. (2000) Superselec-tive embolization of ovarian and round ligament arteries in the management of obstetric menorrhage. Cardiovasc Intervent Radiol 23 103... 

There are some important anatomic variations associated with failure. These include tortuous artery, small uterine artery in one or both sides, absence of uterine arteries, ovarian artery supply of the fibroids and other less common variants such as a round ligament artery supply [7]. 

The ovarian ligament is a rounded fibromuscular band extending from the ovary to the uterine cornu [6]. Its position varies with that of the ovary. It is located immediately posterior and inferior to the fallopian tube and round ligament [15]. The ovarian branches of the uterine artery pass through the ovarian ligament and anastomose with branches of ovarian artery in the mesovarium. 

Fig. 17.4a,b. Bilateral tuboovarian abscesses. Consecutive transaxial FS TIWI (a, b) at the level of the acetabulum. Bilateral centrally cystic thick-walled adnexal lesions ) show ill-defined margins toward the surrounding fat. Excessive contrast enhancement along the uterosacral ligaments, rectal wall, mesorectal fat tissue and the left round ligament (arrow) is also noted (b). J , rectum. Courtesy of Dr A. Heuck, Munich... 

Fig. 4.1. Superior (diaphragmatic) aspect of the liver. The only landmarks that can be recognized are the falciform and the round ligament, separating the left lobe from the right lohe...

Fig. 4.2. Inferior aspect of the liver the round ligament continues into the umhilical portion of the left portal vein (at an anatomical landmark called Rex s recessus). The hepatic pedicle spreads out, near the liver, as a virtual space called the porta hepatis or hepatic hilum (defined by the bifurcation of the portal vein) and divides into a shorter right pedicle and a longer left pedicle. The left pedicle separates a quadrate lobe anteriorly and a round caudate lobe posteriorly and arches up as an umbilical portion to join the round ligament. Arantius ligament runs from the angle between the transverse portion and the umbilical portion of the left portal vein to the confluence of the left and middle hepatic veins. The right hepatic pedicle is in contact with the gallbladder that defines the right border of the quadrate lobe. Posteriorly the right hepatic pedicle is separated from the vena cava by a rim of liver tissue that corresponds to the right portion of the caudate lobe...

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