Where is rectovesical pouch?

Last Update: May 30, 2022

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Asked by: Isadore Gottlieb
Score: 5/5 (30 votes)

Rectovesical pouch is the forward reflection of the peritoneum from the middle third of the rectum to the upper part of the bladder in males.

Where is the pouch of Douglass?

The pouch of Douglas is a small area in the female human body between the uterus and the rectum.

Do females have rectovesical pouch?

The recto-vesical pouch is the pocket that lies between the rectum and the urinary bladder in human males and other male mammals. In women, the uterus lies between the rectum and the urinary bladder. Therefore, women do not have a recto-vesical pouch, but instead have a recto-uterine pouch and vesico-uterine pouch.

Is Rectouterine pouch present in males?

Between the rectum and the bladder the peritoneum forms, in the male, a pouch, the rectovesical pouch (rectovesical excavation), the bottom of which is slightly below the level of the upper ends of the vesiculæ seminales—i. e., about 7.5 cm.

What is the Vesicorectal pouch?

: a sac between the rectum and the urinary bladder in males that is formed by a folding of the peritoneum — compare rectouterine pouch.

Rectovesical pouch (Excavatio rectovesicalis) - Human Anatomy | Kenhub

27 related questions found

What is the function of rectovesical pouch?

The rectovesical pouch is the lowest part of the peritoneal cavity and usually contains loops of small bowel or sigmoid colon. It is 7.5 cm from the anal margins and is a potential space for fluid collection in males.

What is Denonvilliers fascia?

The rectoprostatic fascia (Denonvilliers' fascia) is a membranous partition at the lowest part of the rectovesical pouch. It separates the prostate and urinary bladder from the rectum. It consists of a single fibromuscular structure with several layers that are fused together and covering the seminal vesicles.

Can the pouch of Douglas be removed?

It seems to the editor that the uterosacml ligaments and pouch of Douglas are seldom removed when hysterectomy is performed in the type of casm reported in this paper one achieves mobility of the uterus before its removal by cutting the uterosacral ligaments, not removing them; in these cases we are concerned about the ...

What is called pouch of Douglas?

The rectouterine pouch (TA: excavatio rectouterina 3), also known as the rectovaginal pouch, cul-de-sac or pouch of Douglas, is an extension of peritoneum between the posterior wall of uterus and the rectum in females.


What is inside the peritoneal cavity?

The peritoneal cavity contains the omentum, ligaments, and mesentery. Intraperitoneal organs include the stomach, spleen, liver, first and fourth parts of the duodenum, jejunum, ileum, transverse, and sigmoid colon.

What is pouch of Douglas in pregnancy?

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.

Should there be fluid in the pouch of Douglas?

A small amount of fluid in the cul-de-sac is normal and is usually not of concern. If the fluid sample shows signs of pus or blood, the area may need to be drained. Sometimes blood can be a result of ruptured cyst or signs of an ectopic pregnancy.

What is the cul-de-sac in the female body?

The Pouch of Douglas (cul-de-sac or rectovaginal septum) is the space between the rectum and the uterus. This is the lowest part of the abdominal cavity.


Is pouch of Douglas?

The rectouterine pouch (TA: excavatio rectouterina 3), also known as the rectovaginal pouch, cul-de-sac or pouch of Douglas, is an extension of peritoneum between the posterior wall of uterus and the rectum in females.

How big is the pouch of Douglas?

Result(s): Mean (SD) Douglas pouch depth and volume measurements were 3.6 1.6 cm and 41.6 19.3 mL in women with deep endometriosis, 5.3 0.8 cm and 67.2 18.1 mL in those with peritoneal and ovarian lesions only, 5.2 0.9 cm and 67.6 12.6 mL in those with miscellaneous conditions, and 5.5 0.8 cm and 65.8 10.9 mL in those ...

What does cul-de-sac mean in ultrasound?

The cul-de-sac, also known as the pouch of Douglas or rectouterine pouch, is an extension of the postero-inferior reflection of the peritoneal fold between the uterus (anteriorly) and rectum (posteriorly).

What is the clinical significance of the pouch of Douglas?

Clinical significance

As it is the furthest point of the abdominopelvic cavity in women, it is a site where infection and fluids typically collect. The recto-uterine pouch can be used in the treatment of end-stage kidney failure in patients who are treated by peritoneal dialysis.


What causes fluid collection in the pouch of Douglas?

The "mass effect" of a distended bladder may cause fluid in the pouch of Douglas to migrate to other parts of the peritoneal cavity, such as the peritoneal reflection over the fundus of the uterus.

What is fluid collection in the 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 happens if bowel endometriosis is left untreated?

A small bowel obstruction can cause symptoms such as stomach pain, nausea, and problems passing gas or stool. If left untreated, a bowel obstruction can cause pressure to build up, possibly resulting in a bowel perforation (a hole in the bowel). A blockage can also decrease blood supply to the intestines.

What does Stage 4 endometriosis mean?

Stage IV. Stage IV is the most severe stage of endometriosis, typically accruing over 40 points. 13 At this stage, a large number of cysts and severe adhesions are present. While some types of cysts go away on their own, the cysts that form as a result of endometriosis usually need to be surgically removed.


Can endometriosis cause fluid in pouch of Douglas?

A pelvic ultrasound is an important screening tool for the markers of endometriosis such as endometriomas (ovarian cysts containing endometriosis. Other endometriosis symptoms include the presence of free fluid within the pouch of Douglas, hydrosalpinges and pelvic tenderness.

What is the Mesorectal fascia?

The mesorectal fascia is a layer of connective tissue enclosing the perirectal fat that surrounds the rectum. It is an important anatomical structure in rectal cancer staging, as it forms the circumferential resection margin for the non-peritonealised portion of the rectum.

What is Endopelvic fascia?

The endopelvic fascia is the enveloping connective tissue network for the pelvic viscera, suspending, supporting and fusing the pelvic organs to the arcus tendineus fasciae pelvis, which itself inserts onto the pelvic sidewalls and pubic bones.

What is fascia in the body?

Fascia is a thin casing of connective tissue that surrounds and holds every organ, blood vessel, bone, nerve fiber and muscle in place. The tissue does more than provide internal structure; fascia has nerves that make it almost as sensitive as skin. When stressed, it tightens up.