Medial umbilical ligament

Medial umbilical ligament
The peritoneum of the male pelvis. (Medial umbilical ligament labeled at bottom left.)
Posterior view of the anterior abdominal wall in its lower half. The peritoneum is in place, and the various cords are shining through.
Details
Latin	Chorda arteriae umbilicalis, Ligamentum umbilicale mediale
Dorlands /Elsevier	l_09/12493508
*Anatomical terminology*

The medial umbilical ligament (or cord of umbilical artery) is a paired structure found in human anatomy. It is on the deep surface of the anterior abdominal wall, and is covered by the medial umbilical folds (plicae umbilicales mediales). It should not be confused with the median umbilical ligament, a different structure that represents the remnant of the embryonic urachus.

Origins

It represents the remnant of the fetal umbilical arteries, which serves no purpose in humans after birth, except for the initial part that becomes the adult umbilical artery.

Functions

It may be used as a landmark for surgeons exploring the medial inguinal fossa during laparoscopic inguinal hernia repair. Other than this, it has no purpose in an adult and it may be cut or damaged with impunity.

Relations

The supravesical fossa, and therefore a supravesical hernia, is medial to this structure. The medial inguinal fossa, and therefore a direct inguinal hernia, is lateral to it.

External links

Medial umbilical ligament
- Anatomy figure: 36:01-04 at Human Anatomy Online, SUNY Downstate Medical Center - "The inguinal canal and derivation of the layers of the spermatic cord."
- Anatomy image:7323 at the SUNY Downstate Medical Center
- Anatomy image:7577 at the SUNY Downstate Medical Center
Medial umbilical fold
- Anatomy figure: 36:03-10 at Human Anatomy Online, SUNY Downstate Medical Center - "Internal surface of the anterior abdominal wall."

Additional images

Dissection of side wall of pelvis showing sacral and pudendal plexuses.
Inguinal fossae

Fetal vascular remnant ligaments
Heart	Ligamentum arteriosum
Liver	Round ligament of liver Ligamentum venosum
Umbilical	Medial umbilical ligament see also Median umbilical ligament and Lateral umbilical fold

Arteries of the abdomen and pelvis

Abdominal
aorta

Celiac

Left gastric	Esophageal branches
Common hepatic	Proper hepatic cystic Right gastric Gastroduodenal right gastroepiploic superior pancreaticoduodenal supraduodenal
Splenic	Pancreatic branches greater dorsal Short gastrics Left gastroepiploic

Superior mesenteric

Suprarenal

Middle suprarenal

Renal

Gonadal

Lumbar

Lumbar arteries

Inferior mesenteric

Common iliac

Internal iliac

Posterior surface

Iliolumbar	Lumbar branch Iliac branch

Anterior surface

Superior vesical artery	Umbilical artery Medial umbilical ligament to ductus deferens
Obturator	Anterior branch Pubic branch Posterior branch Acetabular branch Cruciate anastomosis Corona mortis
Middle rectal	Vaginal branch ♀ / Prostatic branch ♂
Uterine ♀	Arcuate Vaginal branches Ovarian branches Tubal branches Spiral
Vaginal ♀ / Inferior vesical ♂
Inferior gluteal	Accompanying of sciatic nerve Cruciate anastomosis
Internal pudendal	Inferior rectal Perineal posterior scrotal posterior labial Bulb of penis/vestibule Urethral Deep artery of the penis helicine Deep artery of clitoris Dorsal of the penis Dorsal of the clitoris

External iliac

Inferior epigastric
- Corona mortis
Deep circumflex iliac
Femoral
- see arteries of lower limbs

Median sacral

Coccygeal glomus

Anatomy of the peritoneum and mesentery

General

Abdominal

From ventral mesentery	Lesser omentum Hepatoduodenal ligament Hepatogastric ligament Liver Coronary ligament (Left triangular ligament Right triangular ligament Hepatorenal ligament) Falciform ligament (Round ligament of liver and Ligamentum venosum in it, but not of it)
From dorsal mesentery	Greater omentum Gastrophrenic ligament Gastrocolic ligament Gastrosplenic ligament Mesentery Splenorenal ligament Phrenicocolic ligament Folds Umbilical folds Supravesical fossa Medial inguinal fossa Lateral umbilical fold Lateral inguinal fossa Ileocecal fold
Abdominal cavity	Greater sac Lesser sac Omental foramen
General	Cystohepatic triangle Hepatorenal recess of subhepatic space Abdominal wall Inguinal triangle Peritoneal recesses Paracolic gutters Paramesenteric gutters

Pelvic

Uterus/ovaries	Broad ligament of the uterus Mesovarium Mesosalpinx Mesometrium) Ovarian ligament Suspensory ligament of ovary
Recesses	Male Recto-vesical pouch Pararectal fossa Female Recto-uterine pouch Recto-uterine fold (Uterosacral ligament) Vesico-uterine pouch Ovarian fossa Paravesical fossa Retroperitonium

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