What is the significance of the Rectouterine pouch?

What is the significance of the Rectouterine pouch?

Clinical significance The rectouterine pouch, being the lowest part of the peritoneal cavity in a woman at supine position, is a common site for the spread of pathology such as ascites, tumour, endometriosis, pus, etc.

Where is the Vesicouterine pouch found?

Vesicouterine pouch (female) The space exists between the posterior surface of the urinary bladder and the anterior surface of the uterus.

What is the function of the Rectovesical pouch?

The rectovesical pouch is the pocket that lies between the rectum and the bladder in human and other male mammals. In women, the uterus lies between the rectum and the bladder….

Rectovesical pouch
TA98 A10.1.02.513M
TA2 3727
FMA 14727
Anatomical terminology

What is a peritoneum in anatomy?

The peritoneum is the serous membrane that lines the abdominal cavity. The peritoneum serves to support the organs of the abdomen and acts as a conduit for the passage of nerves, blood vessels, and lymphatics. Although the peritoneum is thin, it is made of 2 layers with a potential space between them.

How do you check a rectouterine pouch?

Feel: Examine the rectovaginal septum for thickening, nodularity or tenderness. While gently pressing your fingers as superiorly as possible, examine the rectouterine pouch. During this procedure, palpate laterally, identifying the right and left uterosacral ligaments and noting any masses or abnormal tenderness.

Is the rectouterine pouch same as the 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.

Is Pouch of Douglas removed in hysterectomy?

Vaginal Hysterectomy A circumferential incision is made around the cervix. The bladder is dissected off the cervix and reflected upwards. The anterior peritoneum is opened by cutting the utero-vesical peritoneal fold. The Pouch of Douglas is opened.

What is the rectouterine pouch?

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. It is the most dependant part of the peritoneal cavity and is analogous to the rectovesical pouch in males.

What is the recto-vesical pouch?

In men, the region corresponding to the recto-uterine pouch is the recto-vesical pouch, which lies between the urinary bladder and rectum. (There is no equivalent to the vesico-uterine pouch).

How much fluid is in the recto-uterine pouch?

After ovulationthere is between 4 and 5 ml of fluid in the recto-uterine pouch. [2] In men, the region corresponding to the recto-uterine pouch is the recto-vesical pouch, which lies between the urinary bladderand rectum. (There is no equivalent to the vesico-uterine pouch).

Where is the peritoneal pouch located?

In women it is the deepest point of the peritoneal cavity, posterior to (behind) the uterus and anterior to (in front of) the rectum. (The pouch on the other side of the uterus is the vesico-uterine pouch.) It is near the posterior fornix of the vagina.

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What is the significance of the rectouterine pouch?

What is the significance of the rectouterine pouch?

Clinical significance The rectouterine pouch, being the lowest part of the peritoneal cavity in a woman at supine position, is a common site for the spread of pathology such as ascites, tumour, endometriosis, pus, etc.

Is free fluid in pouch of Douglas normal?

A small amount of fluid in the cul-de-sac is normal. But if the sample shows signs of pus or blood, the area may need to be drained. Blood in the fluid could mean a cyst has ruptured or there is a tear. It could also be a sign of an ectopic pregnancy.

What is pouch of Douglas?

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 rectouterine pouch present in males?

It is the rectovaginal pouch in the female and the rectovesical pouch in the male. The cul-de-sac is in a dependent position when either upright or supine; it is, therefore, a frequent location for seeded lesions. Abnormalities in the cul-de-sac include metastases, abscesses, and endometriosis.

What is a pouch on a woman?

The pouch is extra fat, just like any other excess fat that’s deposited elsewhere on your body. To lose that pouch, a diet and exercise plan that focuses on reducing your overall body fat will help it shrink.

How do I get rid of fluid in my 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.

What can cause PID?

What is PID? Pelvic inflammatory disease is an infection of a woman’s reproductive organs. It is a complication often caused by some STDs, like chlamydia and gonorrhea. Other infections that are not sexually transmitted can also cause PID.

What is the Rectovesical pouch?

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

What is pouch of Douglas in pregnancy?

Is there a link between endometriosis and cancer?

There is an association between endometriosis and certain types of cancers, notably some types of ovarian cancer, non-Hodgkin’s lymphoma and brain cancer. Endometriosis is unrelated to endometrial cancer.

How is endometriosis diagnosed?

The diagnosis of endometriosis is based upon history, symptoms and signs. Early diagnosis is not possible with imaging modalities. Laparoscopy is the gold standard in diagnosis and management of endometriosis.(2)Imaging modalities like USG and MRI help in diagnosis of moderate to severe endometriosis.

What is the economic burden of endometriosis?

Society and culture. The economic burden of endometriosis is widespread and multifaceted. Endometriosis is a chronic disease that has direct and indirect costs which include loss of work days, direct costs of treatment, symptom management, and treatment of other associated conditions such as depression or chronic pain.

What are the different theories of endometriosis?

Other theories. Stem cells: Endometriosis may arise from stem cells from bone marrow and potentially other sources. In particular, this theory explains endometriosis found in areas remote from the pelvis such as the brain or lungs. Environment: Environmental toxins (e.g., dioxin, nickel) may cause endometriosis.

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