Uterine artery

Uterine artery
Uterine artery
	Arteries of the female reproductive tract: uterine artery, ovarian artery and vaginal arteries. (Uterine artery labeled at center.)
	Vessels of the uterus and its appendages, rear view. (Uterine artery labeled at center right.)
Details
Source	Internal iliac artery (i.e. hypogastric artery)
Vein	Uterine veins
Supplies	Round ligament of the uterus, ovary, uterus, vagina, uterine tube
Identifiers
Latin	arteria uterina
MeSH	D055988
TA98	A12.2.15.029F
TA2	4330
FMA	18829
	Anatomical terminology [edit on Wikidata]

The uterine artery is an artery that supplies blood to the uterus in females.

Structure

The uterine artery usually arises from the anterior division of the internal iliac artery. It travels to the uterus, crossing the ureter anteriorly, to the uterus by traveling in the cardinal ligament.^[1]

It travels through the parametrium of the inferior broad ligament of the uterus.

It commonly anastomoses (connects with) the ovarian artery.

The uterine artery is the major blood supply to the uterus and enlarges significantly during pregnancy.

Branches and organs supplied

round ligament of the uterus
ovary ("ovarian branches")
uterus (arcuate vessels)
vagina (Vaginal branches of uterine artery)^[2]
uterine tube ("tubal branch")

Anatomical variants

Uterine artery can arise from the first branch of inferior gluteal artery. It can also arise as the 2nd or 3rd branch from the inferior gluteal artery. On the other hand, uterine artery can be first branch from internal iliac artery before the superior and inferior gluteal arteries branching off from the main arterial trunk. In addition to that, uterine artery can also arise directly from internal iliac artery together with superior and inferior gluteal arteries.^[2]

Clinical significance

Hysterectomy

The uterine arteries are ligated during hysterectomy.^[3]

References

^ Pelage, J. P.; Walker, W. J.; Dref, O. Le; Rymer, R. (2003-06-01). "Ovarian Artery: Angiographic Appearance, Embolization and Relevance to Uterine Fibroid Embolization". CardioVascular and Interventional Radiology. 26 (3): 227–233. doi:10.1007/s00270-002-1875-3. ISSN 0174-1551. PMID 14562969. S2CID 23788447.
^ ^a ^b Rand, Thomas; Patel, Rafiuddin; Magerle, Wolfgang; Uberoi, Raman (December 2020). "CIRSE standards of practice on gynaecological and obstetric haemorrhage". CVIR Endovascular. 3 (1): 85. doi:10.1186/s42155-020-00174-7. ISSN 2520-8934. PMC 7695782. PMID 33245432.
^ Pareja, Rene; Ramirez, Pedro T. (2018-01-01), Ramirez, Pedro T.; Frumovitz, Michael; Abu-Rustum, Nadeem R. (eds.), "Chapter 7 - Abdominal Radical Hysterectomy", Principles of Gynecologic Oncology Surgery, Elsevier, pp. 104–115, ISBN 978-0-323-42878-1, retrieved 2021-02-04

External links

Anatomy photo:43:13-0204 at the SUNY Downstate Medical Center - "The Female Pelvis: Branches of Internal Iliac Artery"
pelvis at The Anatomy Lesson by Wesley Norman (Georgetown University) (uterus)

[1] Pelage, J. P.; Walker, W. J.; Dref, O. Le; Rymer, R. (2003-06-01). "Ovarian Artery: Angiographic Appearance, Embolization and Relevance to Uterine Fibroid Embolization". CardioVascular and Interventional Radiology. 26 (3): 227–233. doi:10.1007/s00270-002-1875-3. ISSN 0174-1551. PMID 14562969. S2CID 23788447.

[Rand_2020-2] Rand, Thomas; Patel, Rafiuddin; Magerle, Wolfgang; Uberoi, Raman (December 2020). "CIRSE standards of practice on gynaecological and obstetric haemorrhage". CVIR Endovascular. 3 (1): 85. doi:10.1186/s42155-020-00174-7. ISSN 2520-8934. PMC 7695782. PMID 33245432.

[3] Pareja, Rene; Ramirez, Pedro T. (2018-01-01), Ramirez, Pedro T.; Frumovitz, Michael; Abu-Rustum, Nadeem R. (eds.), "Chapter 7 - Abdominal Radical Hysterectomy", Principles of Gynecologic Oncology Surgery, Elsevier, pp. 104–115, ISBN 978-0-323-42878-1, retrieved 2021-02-04

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