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The hepatorenal recess [1] (subhepatic recess, pouch of Morison or Morison's pouch) is the subhepatic space that separates the liver from the right kidney. As a potential space, the recess is not normally filled with fluid. However, fluid can collect here in circumstances where the abdomen fills with fluid, such as hemoperitoneum.
The four classic areas that are examined for free fluid are the perihepatic space (including Morison's pouch or the hepatorenal recess), perisplenic space, pericardium, and the pelvis. With this technique it is possible to identify the presence of intraperitoneal or pericardial free fluid.
Morison's pouch (hepatorenal recess) is a common starting location in concordance with ultrasound FAST (focused assessment with sonography for trauma) exam. Fluid collection can occur in a number of different locations and may be difficult to find, especially if the patient only exhibits a small volume of ascites.
The pouch on the other side of the uterus near to the anterior fornix is the vesicouterine pouch. After passing over the fundus of the uterus, the peritoneum extends inferiorly along the entire posterior aspect of the uterus, reaching the posterior vaginal wall before reflecting superior-ward onto the anterior aspect of the rectal ampulla (i.e ...
Bile, pus, or blood released from viscera anywhere along its length may run along the paracolic gutter, and collect in sites quite remote from the organ of origin. [2] In supine patients, infected fluid from the right iliac fossa may ascend in the paracolic gutter to enter the lesser sac.
Hartmann's pouch – Henri Hubert Vadim Hartmann (1860–1952), German Surgeon Hasner's Fold – Joseph Hasner (1819–1892), Austrian ophthalmologist Haversian canal – Clopton Havers (1657–1702), English physician
In the past eight years, school districts in 41 states have spent $2.5 million to buy pouches from Yondr, according to Govspend, a database of government contracts and purchases.
The anatomy and variant anatomy of this region is important during gallbladder removal to prevent iatrogenic injury to the common hepatic duct, bile duct, or right hepatic artery. [ 3 ] The cystic artery lies within the hepatobiliary triangle, which is used to locate it during a laparoscopic cholecystectomy .