Vesicouterine pouch

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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

In

fornix of the vagina
.

Structure

The vesicouterine pouch is a fold of

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

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
    Median sagittal section of female pelvis

See also

References

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