Rectovesical pouch

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Rectovesical pouch
Gray1228.png
Median sagittal section of male pelvis. (Rectovesical excavation labeled at center right.)
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Male pelvic organs seen from right side. Bladder and rectum distended; relations of peritoneum to the bladder and rectum shown in blue. The arrow points to the rectovesical pouch.
Details
Identifiers
Latin excavatio rectovesicalis
TA98 A10.1.02.513M
TA2 3727
FMA 14727
Anatomical terminology

The rectovesical pouch is the pocket that lies between the rectum and the bladder in males in humans and other mammals. It is lined by peritoneum.

Contents

Structure

The rectovesical pouch is a space between the rectum and the bladder in men. [1] It lies above the seminal vesicles. [2] It is lined by peritoneum and at its base is the rectoprostatic fascia (Denonvillier's fascia). When a man is upright or supine, it is the lowest part of his peritoneal cavity. [3] It may contain parts of the ileum (lower small intestine) and the sigmoid colon. [2]

In women, the uterus lies between the rectum and the bladder. Therefore, women do not have a rectovesical pouch, but instead have a rectouterine pouch and vesicouterine pouch. After a hysterectomy in women, the remaining peritoneum may be referred to as a rectovesical pouch. [4]

Clinical significance

When a man is upright or supine, the rectovesical pouch is the lowest part of his peritoneal cavity. [3] Because of this, peritoneal fluid and other fluids that enter the peritoneal cavity, including ascites, blood and pus, tend to collect in this pouch.

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Peritoneum</span> Serous membrane that forms lining of abdominal cavity or coelom

The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal organs, and is composed of a layer of mesothelium supported by a thin layer of connective tissue. This peritoneal lining of the cavity supports many of the abdominal organs and serves as a conduit for their blood vessels, lymphatic vessels, and nerves.

<span class="mw-page-title-main">Abdominal cavity</span> Body cavity in the abdominal area

The abdominal cavity is a large body cavity in humans and many other animals that contain organs. It is a part of the abdominopelvic cavity. It is located below the thoracic cavity, and above the pelvic cavity. Its dome-shaped roof is the thoracic diaphragm, a thin sheet of muscle under the lungs, and its floor is the pelvic inlet, opening into the pelvis.

<span class="mw-page-title-main">Mesentery</span> Contiguous fold of tissues that supports the intestines

The mesentery is an organ that attaches the intestines to the posterior abdominal wall and is formed by the double fold of peritoneum. It helps in storing fat and allowing blood vessels, lymphatics, and nerves to supply the intestines, among other functions.

The peritoneal cavity is a potential space between the parietal peritoneum and visceral peritoneum. The parietal and visceral peritonea are layers of the peritoneum named depending on their function/location. It is one of the spaces derived from the coelomic cavity of the embryo, the others being the pleural cavities around the lungs and the pericardial cavity around the heart.

<span class="mw-page-title-main">Rectouterine pouch</span> Human female anatomical structure

The rectouterine pouch is the extension of the peritoneum into the space between the posterior wall of the uterus and the rectum in the human female.

<span class="mw-page-title-main">Obturator internus muscle</span> One of six small hip muscles in the lateral rotator group

The internal obturator muscle or obturator internus muscle originates on the medial surface of the obturator membrane, the ischium near the membrane, and the rim of the pubis.

<span class="mw-page-title-main">Common iliac artery</span> Artery in the abdomen

The common iliac artery is a large artery of the abdomen paired on each side. It originates from the aortic bifurcation at the level of the 4th lumbar vertebra. It ends in front of the sacroiliac joint, one on either side, and each bifurcates into the external and internal iliac arteries.

<span class="mw-page-title-main">Iliopsoas</span> Joined psoas and the iliacus muscles

The iliopsoas muscle refers to the joined psoas major and the iliacus muscles. The two muscles are separate in the abdomen, but usually merge in the thigh. They are usually given the common name iliopsoas. The iliopsoas muscle joins to the femur at the lesser trochanter. It acts as the strongest flexor of the hip.

<span class="mw-page-title-main">Abdomen</span> Part of the body between the chest and pelvis

The abdomen is the part of the body between the thorax (chest) and pelvis, in humans and in other vertebrates. The abdomen is the front part of the abdominal segment of the torso. The area occupied by the abdomen is called the abdominal cavity. In arthropods, it is the posterior tagma of the body; it follows the thorax or cephalothorax.

<span class="mw-page-title-main">Right colic artery</span> Artery supplying the colon

The right colic artery is an artery of the abdomen, a branch of the superior mesenteric artery supplying the ascending colon. It divides into two terminal branches - an ascending branch and a descending branch - which form anastomoses with the middle colic artery, and ileocolic artery (respectively).

<span class="mw-page-title-main">Greater omentum</span> Fat sheath under abdominal wall

The greater omentum is a large apron-like fold of visceral peritoneum that hangs down from the stomach. It extends from the greater curvature of the stomach, passing in front of the small intestines and doubles back to ascend to the transverse colon before reaching to the posterior abdominal wall. The greater omentum is larger than the lesser omentum, which hangs down from the liver to the lesser curvature. The common anatomical term "epiploic" derives from "epiploon", from the Greek epipleein, meaning to float or sail on, since the greater omentum appears to float on the surface of the intestines. It is the first structure observed when the abdominal cavity is opened anteriorly.

<span class="mw-page-title-main">Duodenojejunal flexure</span> Border between the duodenum and the jejunum

The duodenojejunal flexure or duodenojejunal junction, also known as the angle of Treitz, is the border between the duodenum and the jejunum.

<span class="mw-page-title-main">Pelvic cavity</span> Body cavity bounded by the pelvic bones

The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet. Its lower boundary is the pelvic floor.

<span class="mw-page-title-main">Pelvic brim</span>

The pelvic brim is the edge of the pelvic inlet. It is an approximately Mickey Mouse head-shaped line passing through the prominence of the sacrum, the arcuate and pectineal lines, and the upper margin of the pubic symphysis.

<span class="mw-page-title-main">Pubic tubercle</span> Bone

The pubic tubercle is a prominent tubercle on the superior ramus of the pubis bone of the pelvis.

<span class="mw-page-title-main">Superior rectal artery</span>

The superior rectal artery is an artery that descends into the pelvis to supply blood to the rectum.

<span class="mw-page-title-main">Perimetrium</span>

The perimetrium is the outer serosal layer of the uterus, derived from the peritoneum overlying the uterine fundus, and can be considered a visceral peritoneum. It consists of a superficial layer of mesothelium, and a thin layer of loose connective tissue beneath it.

The paracolic gutters are peritoneal recesses – spaces between the colon and the abdominal wall.

<span class="mw-page-title-main">Vesicouterine pouch</span> Fold of peritoneum in human female anatomy

In human female anatomy, the vesicouterine pouch, also uterovesicle pouch, is a fold of peritoneum over the uterus and the bladder. Like the rectouterine pouch, it is a female pelvic recess, but shallower and closer to the anterior fornix of the vagina.

In medicine, excavation has two meanings:

References

PD-icon.svgThis article incorporates text in the public domain from page 1152 of the 20th edition of Gray's Anatomy (1918)

  1. Friedman, Lana M.; Tsung, James W. (May 2013). "Extending the Focussed Assessment With Sonography for Trauma Examination in Children". 12 (1). Elsevier: 2–17 via ResearchGate.{{cite journal}}: Cite journal requires |journal= (help)
  2. 1 2 Jacob, S. (2008). "4 - Abdomen". Human Anatomy. Churchill Livingstone. pp. 71–123. doi:10.1016/B978-0-443-10373-5.50007-5. ISBN   978-0-443-10373-5.
  3. 1 2 "Colon". Imaging Anatomy: Chest, Abdomen, Pelvis (2nd ed.). Elsevier. 2017. pp. 666–707. doi:10.1016/B978-0-323-47781-9.50032-5. ISBN   978-0-323-47781-9.
  4. "Ureters and Bladder". Imaging Anatomy: Ultrasound (2nd ed.). Elsevier. 2018. pp. 424–433. doi:10.1016/B978-0-323-54800-7.50047-7. ISBN   978-0-323-54800-7.