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# Ovarian ligament

The ovarian ligament is a short cord that ties each ovary to the side of the uterus, just below the [uterine tube](https://durgical.com/en/anatomy/uterine-tube/).

Official name: Proper ovarian ligament

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## What it is

A short cord from the ovary to the uterus, just below the tube.

## What it does

Ties the ovary to the uterus; it is cut when the ovary is kept and the uterus removed.

## Key points

- With the round ligament of uterus it is a remnant of the gubernaculum: the ovarian ligament attaches just below and behind the tube, the round ligament just below and in front
- A hysterectomy that keeps the ovaries divides the ovarian ligament and the tube at the uterine corner; removing the ovary means dividing the [suspensory ligament of ovary](https://durgical.com/en/anatomy/suspensory-ligament-of-ovary/) instead
- The ovarian branch of the [uterine artery](https://durgical.com/en/anatomy/uterine-artery/) runs alongside it to join the [ovarian artery](https://durgical.com/en/anatomy/ovarian-artery/), giving the ovary a dual blood supply

## Key facts

**Attaches**
Uterine pole of the ovary to the uterine cornu, below and behind the tube

**Function**
Anchors the ovary to the uterus; upper remnant of the gubernaculum

## Relations

**Course**
From the lower (uterine) pole of the [ovary](https://durgical.com/en/anatomy/ovary/) medially, within the [broad ligament](https://durgical.com/en/anatomy/broad-ligament-of-uterus/), to the lateral angle of the uterus below the tube

**Above**
[Isthmus of uterine tube](https://durgical.com/en/anatomy/isthmus-of-uterine-tube/) and the [mesosalpinx](https://durgical.com/en/anatomy/mesosalpinx/)

**In front**
[Round ligament of uterus](https://durgical.com/en/anatomy/round-ligament-of-uterus/), attached just in front of it at the uterine corner

**Behind**
Posterior layer of the broad ligament and, beyond it, the [rectouterine pouch](https://durgical.com/en/anatomy/rectouterine-pouch/)

## How to find it

Seen at laparoscopy by lifting the ovary: a short, firm cord runs from its lower pole to the uterine corner, below and behind the tube.

## On imaging

Can be seen on MRI as a thin band from the lower pole of the ovary to the uterine corner; tracing it helps show that an adnexal mass belongs to the ovary. On ultrasound the ovary is found instead by its landmarks, the uterus and the internal iliac vessels. In adnexal torsion the twisted pedicle includes this ligament with the ovarian vessels, giving the whirlpool sign.

## Common problems

- Weakened supports allow prolapse.
- Endometriosis often grows on the uterosacral ligaments.

## How it is diagnosed

Examination and ultrasound; seen directly in laparoscopy.

## Treatment

- They are divided step by step in a hysterectomy.

## Clinical notes

- Clamped and divided at hysterectomy with ovarian conservation; its stump carries branches of the uterine artery and is tied securely
- A long ovarian ligament lets the adnexa move more freely and is thought to favour ovarian torsion, especially in children

## Development

It and the round ligament of uterus form from the gubernaculum, which in the female attaches to the uterus, so the ovary stays in the [pelvis](https://durgical.com/en/anatomy/region/pelvis/); in the male the gubernaculum guides the [testis](https://durgical.com/en/anatomy/testis/) down into the [scrotum](https://durgical.com/en/anatomy/scrotum/).

## Related conditions

- [Ovarian torsion](https://durgical.com/en/conditions/ovarian-torsion/)

## Test yourself

Think of the answer, then tap the question to see it.

## Where do the ovarian ligament and the round ligament attach at the uterine corner?

The ovarian ligament just below and behind the uterine tube; the round ligament just below and in front.

## In hysterectomy, which structure is divided if the ovaries are kept, and which if they are removed?

Kept: the ovarian ligament and the tube at the uterine corner. Removed: the suspensory ligament of ovary.

## Why may a long ovarian ligament favour ovarian torsion?

It lets the adnexa move more freely, especially in children.

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Educational information, not medical advice. For any symptom, see a health professional.

## Its names

**Official Latin (TA2)**
ligamentum proprium ovarii TA2 3834

**Official Spanish (DeCS)**
Ligamento propio del ovario

**English (TA2)**
Proper ovarian ligament

**Also called**
ligament of ovary · round ligament of the ovary · chorda uteroovarica

## Related

- [Ovaries](https://durgical.com/en/anatomy/ovary/)

Sources: Terminologia Anatomica (TA2); [Anatomy, Abdomen and Pelvis, Ovary](https://www.ncbi.nlm.nih.gov/books/NBK545187/).

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Representative model, for educational purposes only.

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License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/anatomy/proper-ovarian-ligament/
