Vesicouterine pouch

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.

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.
Details
Identifiers
Latinexcavatio vesicouterina
TA98A10.1.02.504F
TA23724
FMA14729
Anatomical terminology

Structure

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

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

Clinical significance

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

Etymology

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
  • Median sagittal section of female pelvis.

See also

References

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

  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. 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.
  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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