Recto-vesical pouch

The recto-vesical pouch is the pocket that lies between the rectum and the urinary bladder in human males and other male mammals.

Recto-vesical pouch
Median sagittal section of male pelvis. (Rectovesical excavation labeled at center right.)
Male pelvic organs seen from right side. Bladder and rectum distended; relations of peritoneum to the bladder and rectum shown in blue. The arrow points to the rectovesical pouch.
Details
Identifiers
LatinExcavatio rectovesicalis
TA98A10.1.02.513M
TA23727
FMA14727
Anatomical terminology

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.

Structure

The recto-vesical pouch is a space between the rectum and the urinary bladder in men.[1] It is lined by peritoneum and at its base is the rectoprostatic fascia (Denonvillier's fascia).

Clinical significance

When a man is upright or supine, the recto-vesical 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.

Additional images
  • Median sagittal section of pelvis, showing arrangement of fasciae.
  • The peritoneum of the male pelvis.

References

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

  1. Friedman, Lana M.; Tsung, James W. (May 2013). "Extending the Focussed Assessment With Sonography for Trauma Examination in Children". 12 (1). Elsevier: 2–17 – via ResearchGate. Cite journal requires |journal= (help)


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