Art.Fem V. Fem.
V. Lig. Rotondo davanti
al canale inguinale
Traitement : Section-ligature et
fermeture du canal inguinal
Diagnostic con echo-
doppler : veine
refluante en Valsalva,
au-dessus et en dedans
de la V.fem.Com.en
dedans de l’art
Epigastrique Inf.
Point i
droit
Branche
ischio-
pubienne
Point P
Cavié
vaginale
: Voie trans pariétale périnéale
sonde linéaire haute fréquence
i P
o P
p P
c P
s g P
ig P
i P
o P
p P
c P
g s P
g s P
Inguinal Point
Obturator Point
Clitoris Point
Perineal Point
Superior gluteal Point
Inferior gluteal Point
Five Escape points on the right
Five Escape points on the left
Point i Anulus
inguinalis
sup
Point P fascia
perinei Apon.suerficielle
Vena
ligt.rotondo
Canale
inguinale
Anulus
inguinalis
prof.
V.Pudenda
interna
M.Transversus prof
(diaphragma urogenitale)
Vena Perinei
Fascia Perinei
Vena Perinei Vena bulbo
Clitoridi
Anastomosi omolatrerali e
controlaterali V.Lig.Teres-Rami e
Tronco della Safena magna.
Punto I Anulus
inguinalis sup
Canalis inguinalis +
Vena lig. Teres uteri
Anastomoses omolaterales
et controlaterales
V.Lig.Teres-Rami e Tronco
della Safena magna.
clit
CFV
EXT PUD EXT PUD EXT PUD EXT PUD
EXT PUD
EXT PUD EXT PUD CFV
EXT PUD
clit
Female, 2 pregnancies, varicosities limited to the anterior
saphena
Duplex US from the crosse to the clitoris
Valsalva maoneuvre
Canalis pudendalis
Alcocki
Labium major
1 Vena pudenda interna 5 Vena perinei
6 Vena labialis ant.
8 Safena magna
M.Transversus prof
(diaphragma urogenitale)
Fascia diaph.urogen.sup
Fascia diaph.urogen.inf
Labium minor
Clitoris
pP 4
1 6
3 Plexus ven. Commnicans (Clit.
Et Bulbus vest.) Clitoris point cP
cP
2 Vena Bulbi Vestibuli
9 Plexus labialis
2 5
5
6
3
4 Vena clit. subcutanea
7 Vena pudenda externa
7
7
8
9
cP:clitoris Point
pP:perineal Point
Reflux from C point: anastomoic
plexus between the bulbar vein
and superficial dorsal clitoris
vein
1
2
5
7 8
9
2 Vena Bulbi Vestibuli
3 Plexus ven. Commnicans (Clit.
Et Bulbus vest.) Clitoris point cP
1 Vena pudenda interna
4 Vena clit. subcutanea
5 Vena perinei
6 Vena labialis ant.
8 Safena magna
9 Plexus labialis
7 Vena pudenda externa
cP:clitoris Point
pP:perineal Point
2
6
7
pP
iP
iP:inguinal Point
4
cP 3
P point
I point
C point
Plexus ven. Commnicans
(Clit. Et Bulbus vest.):
During Valsalva
maneuvre, reflux from
Internal Pudendal vein
into Anterior Saphena
varicose vein through
retrograde flow in bulbar
vein, Plexus Ven.
Communicans (Clit. Et
Bulbus vest.), Dorsal
Clitoris Vein and External
Pudendal