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A cul-de-sac hernia (also termed a peritoneocele) is a herniation of peritoneal folds into the rectovaginal septum (in females), [2] or the rectovesical septum (in males). The herniated structure is the recto-uterine pouch (pouch of Douglas) in females, [ 2 ] or the rectovesical pouch in males.
The rectouterine pouch (rectovaginal pouch, pouch of Douglas or cul-de-sac) is the extension of the peritoneum into the space between the posterior wall of the uterus and the rectum in the human female.
Posterior enterocele (develops in the rectovaginal space, also termed the pouch of Douglas or the cul-de-sac). [2] Anterior enterocele (develops in the vesicovaginal space). [2] Retains the full thickness of the anterior vaginal wall. [2] Lacks vaginal wall (or very thin and ulcerated vaginal wall). [2] Anterior enterocele is rare. [2]
Culdoscopy is an endoscopic procedure performed to examine the rectouterine pouch and pelvic viscera by the introduction of a culdoscope through the posterior vaginal wall. [1] The word culdoscopy (and culdoscope) is derived from the term cul-de-sac, which means literally in French "bottom of a sac", and refers to the rectouterine pouch (or called the pouch of Douglas).
The uterosacral ligaments pass inferior to the peritoneum. They embrace the rectouterine pouch , and rectum. [ 3 ] The pelvic splanchnic nerves run on top [ further explanation needed ] of the ligament.
Perirenal fat is most abundant upon the posterior aspect, inferior pole and along the lateral margins of the kidney. [5] Anterior pararenal space. Bounded by the posterior layer of peritoneum and the anterior leaf of the renal fascia. It contains the following structures: Pancreas; Ascending and descending colon; Duodenum; Posterior pararenal space
The retroperitoneum or retroperitnium is an anatomical region that includes the peritoneum-covered organs and tissues that make up the posterior wall of the abdominal cavity and the pelvic space - which extends behind to the abdominal cavity. Definitions vary and can also can include the region of the wall of the pelvic basin.
Peritoneal recesses (or peritoneal gutters) are the spaces formed by peritoneum draping over viscera. [1] The term refers mainly to four spaces in the abdominal cavity; the two paracolic gutters and the two paramesenteric gutters. There are other smaller recesses including those around the duodenojejunal flexure, cecum, and the sigmoid colon.