| 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 | |
| Latin | excavatio vesicouterina |
| TA98 | A10.1.02.504F |
| TA2 | 3724 |
| FMA | 14729 |
| Anatomical terminology | |
Inhuman female anatomy, thevesicouterine pouch, alsouterovesicle pouch, is a fold ofperitoneum over theuterus and thebladder. Like therectouterine pouch, it is afemale pelvic recess, but shallower and closer to the anteriorfornix of the vagina.
The vesicouterine pouch is a fold ofperitoneum over theuterus and thebladder, forming a pelvic recess.[1] It is continued over the intestinal surface and body of theuterus onto its vesical surface, which it covers as far as the junction of the body andcervix uteri, and then to the bladder. It is narrowest when the uterus isanteverted rather thanretroverted.[1] The deepest point of the vesicouterine pouch is typically higher than the deepest point of therectouterine pouch.[2]
When the uterus is very anteverted, the vesicouterine pouch is deeper than usual.[2]
The vesicouterine pouch may become attached to theuterus, preventing sliding of the bladder past the uterus.[3] This may occur in a third of women who have had acaesarean section, and in some cases ofendometriosis.[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 aretroverted uterus, which can frequently complicatepregnancies.
The vesicouterine (or vesico-uterine) pouch is also called the vesicouterine (or vesico-uterine) excavation, uterovesical (or utero-vesical) pouch, or excavatio vesicouterina. Thecombining forms reflect the bladder (vesico-,-vesical) and uterus (utero-,-uterine).
This article incorporates text in thepublic domain frompage 1152 of the 20th edition ofGray's Anatomy(1918)
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