Median umbilical ligament

Source: Wikipedia, the free encyclopedia.
Median umbilical ligament
urinary bladder
Toumbilicus
Identifiers
Latinligamentum umbilicale medianum,
ligamentum suspensorium vesicae urinariae
TA98A08.3.01.007
TA24322
FMA16568
Anatomical terminology]

In human anatomy, the median umbilical ligament is an unpaired midline ligamentous structure upon the lower inner surface of the anterior abdominal wall.[1] It is covered by the median umbilical fold.[citation needed]

The median umbilical ligament represents the remnant of the

bladder to the umbilicus, on the deep surface of the anterior abdominal wall.[2]

The median umbilical ligament represents one of the five ligaments of the internal anterior abdominal wall inferior to the umbilicus; laterally on either side of it are one

Development

The median umbilical ligament begins as the allantois in the embryonic period. It then becomes the urachus in the fetus.[3][4] This later develops into the median umbilical ligament at birth.[3] It is also formed from the cloaca in utero.[2]

Function

The median umbilical ligament has no known function.[2]

Clinical significance

The median umbilical ligament may be used as a landmark for surgeons who are performing laparoscopy, such as laparoscopic inguinal hernia repair. Other than this, it has no function in a born human and may be cut or removed with impunity.

It contains the

urachal sinus
.

In very rare cases the

patent urachus (also urachal fistula). Although it is mainly immediately diagnosed after birth it can occur at any stages of life. In this condition there is a functional tubular connection between the umbilicus and the bladder which can lead to urine draining through the umbilicus. Patients often present with umbilical wetness or recurring infections in the area. Treatment options include laparoscopic surgery, excision of the umbilicus or conservative therapy. Due to limited risks conservative therapy, while still being chosen rarely, has been gaining some traction in the last years.[5]

Society and culture

The median umbilical ligament was jokingly referred to as "Xander's ligament" in a YouTube video published by Dr. Alexander R. Toftness (aka. ARTexplains on YouTube), and this name was subsequently used on Wikipedia for a short time.[6] This term was later used in a paper published in Mayo Clinic Proceedings.[6][7][8] The term has also appeared in a medical textbook of obstetrics and gynaecology.[9]

References

External links