What does vesicouterine pouch mean?
A pocket formed by the deflection of the peritoneum from the bladder to the uterus.
What is Vesicouterine space?
Vesicouterine pouch (female)
The second pelvic space formed by peritoneal covering in females is the vesicouterine pouch. The space exists between the posterior surface of the urinary bladder and the anterior surface of the uterus. This space is also continuous superiorly with the peritoneal cavity.
Why is rectovesical pouch important?
Clinical significance
When a man is upright or supine, the rectovesical pouch is the lowest part of his peritoneal cavity. Because of this, peritoneal fluid and other fluids that enter the peritoneal cavity, including ascites, blood and pus, tend to collect in this pouch.
Is the pouch of Douglas Real?
The pouch of Douglas is a small area in the female human body between the uterus and the rectum. It has a name and a shape, but the essence of it, the point of it, is that it is a piece of nothing.
How is vesicouterine pouch formed?
The vesicouterine pouch is a fold of peritoneum over the uterus and the bladder, forming a pelvic recess. It is continued over the intestinal surface and body of the uterus onto its vesical surface, which it covers as far as the junction of the body and cervix uteri, and then to the bladder.
Why is it called pouch of Douglas?
The pouch of Douglas is an anatomical structure named after the Scottish anatomist James Douglas. It is a bag-shaped extension of the peritoneum (a membrane that lines the insides of the abdomen and pelvis) located between the posterior wall of the uterus and the rectum.
What is retropubic space?
The retropubic space is also called the pre-vesical space or the space of Retzius. It can be visualised after opening the fold of peritoneum between the bladder and the anterior abdominal wall. It is bounded anteriorly by the pubic symphysis and the superior pubic ramus laterally.
What is the purpose of the pouch of Douglas?
In humans, the pouch of Douglas is the female counterpart of the rectovesical excavation in males. This space is used in end-stage renal failure dialysis where the tip of the catheter is placed. Word origin: named after the Scottish anatomist Dr James Douglas who extensively explored this region of the female body.
Do males have a pouch of Douglas?
The pouch of Douglas (cul-de-sac) represents the caudal extension of the peritoneal cavity. It is the rectovaginal pouch in the female and the rectovesical pouch in the male.
What is free fluid in pouch of Douglas?
The ultrasound definition of ascites has been described as fluid filling the pouch of Douglas and extending beyond the fundus of the uterus. A better definition or actual quantification of the fluid is needed as the size of a uterus varies from individual to individual.
What is free fluid in pod?
Fluid in POD (pouch of Douglas – between rectum and back part of uterus) in ultrasound can be due to ovulation. If unprotected sex happened around ovulation and had birth control pill, there will be around 1% chance of pregnancy.
What is space of Bogros?
The retroinguinal space (or Bogros’ space) is the extraperitoneal space situated deep to the inguinal ligament. It’s limited by the fascia transversalis anteriorly, the peritoneum posteriorly and the iliac fascia laterally. This preperitoneal space communicates with prevesical space of Retzius.
What is pubic symphysis?
The pubic symphysis is a unique joint consisting of a fibrocartilaginous disc sandwiched between the articular surfaces of the pubic bones. It resists tensile, shearing and compressive forces and is capable of a small amount of movement under physiological conditions in most adults (up to 2 mm shift and 1° rotation).
What is another name for pouch of Douglas?
rectouterine pouch
Pouch of Douglas: An extension of the peritoneal cavity between the rectum and the back wall of the uterus. Also known as the rectouterine pouch.
Is the pouch of Douglas important?
Pre‐operative diagnosis of pouch of Douglas (POD) obliteration is important for several reasons. We know that pre‐operative identification of POD obliteration allows for the identification of women who may be at a higher risk of having underlying bowel endometriosis.
What are the symptoms of pouch of Douglas?
The presenting symptoms were varied, including abdominal pain and distension, abnormal uterine bleeding, lump at introitus and reduced stool caliber. The majority were thought to have either uterine or ovarian pathology except for four whose pre-operative scans suggested POD malignancies.
Can fluid in the pouch of Douglas cause pain?
Summary. Two small pouches called cul-de-sacs are located on either side of the uterus. Fluid sometimes builds up in these pouches. A little fluid is normal, but if it contains pus or blood, or if it’s causing pain, there may be a bigger health problem.
How much fluid in pod is normal?
Minimal fluid in the POD can be due to multiple causes like menstruation, ovulation, blood or any infection. It has to be interpreted after correlating with your symptoms and the menstrual cycle. It is insignificant in most cases when found during routine scan when everything else is normal.
How much free fluid in pelvis is normal?
They reported that the mean minimal volume of fluid detectable by pelvic ultrasound by the examiner and reviewer was 157 mL and 129 mL, respectively, with the lowest volume detected by examiner to be 73 mL.
What is Hesselbach triangle?
The Hesselbach triangle, also called the inguinal triangle, is a region of the lower, anterior abdominal wall, or groin, that was first described by Frank Hesselbach, a German surgeon and anatomist, in 1806. It describes a potential area of weakness in the abdominal wall, through which a hernia can protrude.
What is Myopectineal orifice of Fruchaud?
Myopectineal orifice (MPO), which was described by Dr. Henri Fruchaud in 1956, is a well-defined weak area in the lower anterior abdomen that most frequently occurs in an inguinal hernia.
Why is the pubic symphysis important?
The pubic symphysis is a joint sandwiched between your left pelvic bone and your right pelvic bone. It helps your pelvis absorb some of the weight from your upper body before it travels to your lower body. It also helps separate your pelvic bones to prepare for vaginal childbirth.
What causes symphysis pubis pain?
Pubic symphysis joint pain is commonly provoked by moving the legs apart, such as getting in and out of a car, climbing out of bed, rolling in bed, or going up and down stairs. Standing up from prolonged sitting, particularly on a soft couch, is another known trigger.
How do you get the fluid out of a pouch of Douglas?
Culdocentesis is the puncture and aspiration (withdrawal) of fluid from the pouch of Douglas or rectouterine pouch. The pouch of Douglas or rectouterine pouch is formed between the part of the gut and the uterus. The procedure involves the introduction of a needle through the vaginal wall into the pouch of Douglas.
How do I examine my pouch of Douglas?
Rectouterine pouch (rectouterine excavation, pouch of Douglas)