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Single Best Answer (SBA) · Female Pelvic Anatomy

A student is asked which structure attaches the ovary to the lateral angle (cornu) of the uterus. Which single ligament is this?

Coronal section of the female reproductive tract: uterus, fallopian tubes, ovaries and supporting ligaments

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Answer: B. The ligament of the ovary

Ovarian attachments

LigamentConnectsContents/note
Suspensory (infundibulopelvic) ligament of ovaryOvary to lateral pelvic wallCarries ovarian vessels, nerves and lymphatics
Ligament of the ovaryOvary to lateral angle (cornu) of uterusA true ligament, no vessels
Round ligamentUterine cornu to mons pubis via inguinal canalDrains cornual lymph to superficial inguinal nodes
Cardinal (transverse cervical) ligamentCervix/upper vagina to lateral pelvic wallCarries uterine vessels; key support
Uterosacral ligamentCervix to sacrumPosterior support
The ligament of the ovary
  • Attaches the inferomedial pole of the ovary to the lateral angle (cornu) of the uterus.
  • It is a true (fibromuscular) ligament and is continuous, embryologically, with the round ligament (both derived from the gubernaculum).
Distinguishing the ovarian ligaments
  • Ligament of the ovary: ovary to uterus.
  • Suspensory (infundibulopelvic) ligament: ovary to pelvic wall, carrying the ovarian vessels.

Knowing which attachment carries vessels (the suspensory) versus which is a simple tether (ligament of ovary) is surgically important.

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