Vesicouterine pouch: Difference between revisions

Vesicouterine pouch
Vesicouterine pouch
	Sagittal section of the lower part of a female trunk, right segment. (Excavatio vesicouterina labeled at bottom right.)
	The epiploic foramen, greater sac or general cavity (red) and lesser sac, or omental bursa (blue). Uterovesical excavation labeled at bottom left, third from the bottom.
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Identifiers
Latin	excavatio vesicouterina
TA98	A10.1.02.504F
TA2	3724
FMA	14729
	Anatomical terminology [edit on Wikidata]

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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.

Structure[edit]

The vesicouterine pouch is a fold of peritoneum over the uterus and the bladder, forming a pelvic recess.^[1] 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. It is narrowest when the uterus is anteverted rather than retroverted.^[1] The deepest point of the vesicouterine pouch is typically higher than the deepest point of the rectouterine pouch.^[2]

Variation[edit]

When the uterus is very anteverted, the vesicouterine pouch is deeper than usual.^[2]

Clinical significance[edit]

The vesicouterine pouch may become attached to the uterus, preventing sliding of the bladder past the uterus.^[3] This may occur in a third of women who have had a caesarean section, and in some cases of endometriosis.^[3]

The vesicouterine pouch is an important anatomical landmark for chronic endometriosis. Endometrial seeding in this region causes cyclical pain in women of child-bearing age. This pouch is also an important factor in a retroverted uterus, which can frequently complicate pregnancies.

History[edit]

Etymology[edit]

The vesicouterine (or vesico-uterine) pouch is also called the vesicouterine (or vesico-uterine) excavation, uterovesical (or utero-vesical) pouch, or excavatio vesicouterina. The combining forms reflect the bladder (vesico-, -vesical) and uterus (utero-, -uterine).

Additional images[edit]

Median sagittal section of female pelvis

References[edit]

This article incorporates text in the public domain from page 1152 of the 20th edition of Gray's Anatomy (1918)

^ ^a ^b Hughes, Tracey (2011-01-01), Allan, Paul L.; Baxter, Grant M.; Weston, Michael J. (eds.), "CHAPTER 34 - Pelvic anatomy and scanning techniques", Clinical Ultrasound (Third Edition), Edinburgh: Churchill Livingstone, pp. 645–659, ISBN 978-0-7020-3131-1, retrieved 2021-02-04
^ ^a ^b Bricou, Alexandre; Batt, Ronald E.; Chapron, Charles (2008-06-01). "Peritoneal fluid flow influences anatomical distribution of endometriotic lesions: Why Sampson seems to be right". European Journal of Obstetrics & Gynecology and Reproductive Biology. 138 (2): 127–134. doi:10.1016/j.ejogrb.2008.01.014. ISSN 0301-2115. PMID 18336988.
^ ^a ^b Porter, Misty Blanchette; Goldstein, Steven (2019-01-01), Strauss, Jerome F.; Barbieri, Robert L. (eds.), "Chapter 35 - Pelvic Imaging in Reproductive Endocrinology", Yen and Jaffe's Reproductive Endocrinology (Eighth Edition), Philadelphia: Elsevier, pp. 916–961.e5, ISBN 978-0-323-47912-7, retrieved 2021-02-04

External links[edit]

figures/chapter_35/35-8.HTM: Basic Human Anatomy at Dartmouth Medical School

This anatomy article is a stub. You can help Wikipedia by expanding it.

[:1-1] Hughes, Tracey (2011-01-01), Allan, Paul L.; Baxter, Grant M.; Weston, Michael J. (eds.), "CHAPTER 34 - Pelvic anatomy and scanning techniques", Clinical Ultrasound (Third Edition), Edinburgh: Churchill Livingstone, pp. 645–659, ISBN 978-0-7020-3131-1, retrieved 2021-02-04

[:2-2] Bricou, Alexandre; Batt, Ronald E.; Chapron, Charles (2008-06-01). "Peritoneal fluid flow influences anatomical distribution of endometriotic lesions: Why Sampson seems to be right". European Journal of Obstetrics & Gynecology and Reproductive Biology. 138 (2): 127–134. doi:10.1016/j.ejogrb.2008.01.014. ISSN 0301-2115. PMID 18336988.

[:0-3] Porter, Misty Blanchette; Goldstein, Steven (2019-01-01), Strauss, Jerome F.; Barbieri, Robert L. (eds.), "Chapter 35 - Pelvic Imaging in Reproductive Endocrinology", Yen and Jaffe's Reproductive Endocrinology (Eighth Edition), Philadelphia: Elsevier, pp. 916–961.e5, ISBN 978-0-323-47912-7, retrieved 2021-02-04

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@@ Line 1: / Line 1: @@
+{{Short description|Fold of peritoneum in human female anatomy}}
 {{Infobox anatomy
-| Name        = Vesico-uterine pouch
+| Name        = Vesicouterine pouch
 | Latin       = excavatio vesicouterina
 | Image       = WeiblichesBeckenMedian.gif
@@ Line 8: / Line 9: @@
 | System      =
 }}
-In [[human anatomy|human female anatomy]], the '''vesico-uterine pouch''', also known by [[#Naming and etymology|various names]], is a fold of [[peritoneum]] over the [[uterus]] and the [[urinary bladder]]. Like the [[Recto-uterine_pouch|recto-uterine pouch]], it is a [[female]] pelvic recess. However, it is a shallower pouch close to the anterior [[fornix of the vagina]].
+In [[human anatomy|human female anatomy]], the '''vesicouterine pouch''', also '''uterovesicle pouch''', is a fold of [[peritoneum]] over the [[uterus]] and the [[urinary bladder|bladder]]. Like the [[rectouterine pouch]], it is a [[female]] pelvic recess, but shallower and closer to the anterior [[fornix of the vagina]].
 == Structure ==
+The vesicouterine pouch is a fold of [[peritoneum]] over the [[uterus]] and the [[urinary bladder|bladder]], forming a pelvic recess.<ref name=":1">{{Citation|last=Hughes|first=Tracey|title=CHAPTER 34 - Pelvic anatomy and scanning techniques|date=2011-01-01|url=http://www.sciencedirect.com/science/article/pii/B9780702031311000341|work=Clinical Ultrasound (Third Edition)|pages=645–659|editor-last=Allan|editor-first=Paul L.|place=Edinburgh|publisher=Churchill Livingstone|language=en|isbn=978-0-7020-3131-1|access-date=2021-02-04|editor2-last=Baxter|editor2-first=Grant M.|editor3-last=Weston|editor3-first=Michael J.}}</ref> 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. It is narrowest when the uterus is [[Anatomical terms of location|anteverted]] rather than [[Retroverted uterus|retroverted]].<ref name=":1" /> The deepest point of the vesicouterine pouch is typically higher than the deepest point of the [[rectouterine pouch]].<ref name=":2">{{Cite journal|last1=Bricou|first1=Alexandre|last2=Batt|first2=Ronald E.|last3=Chapron|first3=Charles|date=2008-06-01|title=Peritoneal fluid flow influences anatomical distribution of endometriotic lesions: Why Sampson seems to be right|url=http://www.sciencedirect.com/science/article/pii/S0301211508000195|journal=European Journal of Obstetrics & Gynecology and Reproductive Biology|language=en|volume=138|issue=2|pages=127–134|doi=10.1016/j.ejogrb.2008.01.014|pmid=18336988|issn=0301-2115}}</ref>
-The vesico-uterine pouch is a fold of [[peritoneum]] over the [[uterus]] and the [[urinary bladder]], forming a pelvic recess.
+=== Variation ===
-It is continued over the intestinal surface and fundus 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.
+When the uterus is very anteverted, the vesicouterine pouch is deeper than usual.<ref name=":2" />
 == Clinical significance ==
-The vesico-uterine pouch may become attached to the [[uterus]], preventing sliding of the [[urinary bladder]] past the uterus.<ref name=":0">{{Citation|last=Porter|first=Misty Blanchette|title=Chapter 35 - Pelvic Imaging in Reproductive Endocrinology|date=2019-01-01|url=http://www.sciencedirect.com/science/article/pii/B9780323479127000354|work=Yen and Jaffe's Reproductive Endocrinology (Eighth Edition)|pages=916–961.e5|editor-last=Strauss|editor-first=Jerome F.|place=Philadelphia|publisher=Elsevier|language=en|isbn=978-0-323-47912-7|access-date=2021-02-04|last2=Goldstein|first2=Steven|editor2-last=Barbieri|editor2-first=Robert L.}}</ref> This may occur in a third of women who have had a [[Caesarean section|caesarian section]], and some people with [[endometriosis]].<ref name=":0" />
+The vesicouterine pouch may become attached to the [[uterus]], preventing sliding of the bladder past the uterus.<ref name=":0">{{Citation|last1=Porter|first1=Misty Blanchette|title=Chapter 35 - Pelvic Imaging in Reproductive Endocrinology|date=2019-01-01|url=http://www.sciencedirect.com/science/article/pii/B9780323479127000354|work=Yen and Jaffe's Reproductive Endocrinology (Eighth Edition)|pages=916–961.e5|editor-last=Strauss|editor-first=Jerome F.|place=Philadelphia|publisher=Elsevier|language=en|isbn=978-0-323-47912-7|access-date=2021-02-04|last2=Goldstein|first2=Steven|editor2-last=Barbieri|editor2-first=Robert L.}}</ref> This may occur in a third of women who have had a [[caesarean section]], and in some cases of [[endometriosis]].<ref name=":0" />
-Th vesico-uterine pouch is an important anatomical landmark for chronic [[endometriosis]]. Endometrial seeding in this region causes cyclical pain in women of child-bearing age. This pouch is also an important factor in a [[retroverted uterus]], which can frequently complicate [[pregnancies]].
+The vesicouterine pouch is an important anatomical landmark for chronic endometriosis. Endometrial seeding in this region causes cyclical pain in women of child-bearing age. This pouch is also an important factor in a [[retroverted uterus]], which can frequently complicate [[pregnancies]].
 == History ==
 ===Etymology===
-The vesico-uterine (or vesicouterine) pouch is also called the vesico-uterine (or vesicouterine) excavation, utero-vesical (or uterovesical) pouch, or excavatio vesicouterina. The [[classical compound|combining forms]] reflect the bladder (''[[wikt:vesico-#Prefix|vesico-]]'', ''-vesical'') and uterus (''[[wikt:utero-#Prefix|utero-]]'', ''-uterine'').
+The vesicouterine (or vesico-uterine) pouch is also called the vesicouterine (or vesico-uterine) excavation, uterovesical (or utero-vesical) pouch, or excavatio vesicouterina. The [[classical compound|combining forms]] reflect the bladder (''[[wikt:vesico-#Prefix|vesico-]]'', ''-vesical'') and uterus (''[[wikt:utero-#Prefix|utero-]]'', ''-uterine'').
 ==Additional images==
 <gallery>
- File:Gray1230.png |Median sagittal section of female pelvis.
+File:Gray1230.png|Median sagittal section of female pelvis
 </gallery>
 ==See also==
-* [[Recto-uterine pouch]]
+* [[Rectouterine pouch]] (pouch of Douglas)
+* [[Rectovesical pouch]]
+* [[Retropubic space]]
 ==References==
@@ Line 38: / Line 42: @@
 ==External links==
-* {{SUNYAnatomyLabs|43|02|01|02}} - "The Female Pelvis: Distribution of the Peritoneum in the Female Pelvis"
-* {{SUNYAnatomyImage|9|6|12}}
-* {{SUNYAnatomyImage|9|7|36}}
-* {{SUNYAnatomyImage|9|7|58}}
 * {{DartmouthHumanAnatomy|figures/chapter_35/35-8.HTM}}