Rectouterine Pouch.pptx
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The pouch of Douglas, also known as the rectouterine pouch or rectovaginal pouch, is the extension of the peritoneum into the space between the posterior wall of the uterus and the rectum in females. It is the most dependent part of the peritoneal cavity when standing upright or lying supine. The pouch of Douglas represents the caudal extension of the peritoneal cavity and is an important site for peritoneal dialysis due to its deep location within the pelvis.
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The document describes the normal anatomy and physiology of the esophagus. It discusses various esophageal disorders including dysphagia, heartburn, esophagitis, gastroesophageal reflux disease, achalasia, hiatal hernia, Barrett's esophagus, esophageal varices, and esophageal tumors. The esophagus is a muscular tube that connects the pharynx to the stomach. It has an upper and lower sphincter and consists of mucosa, submucosa, muscle and adventitia layers. Disorders can involve problems with motor function, luminal narrowing or inflammation.
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A MCU was performed on a 2-year-old child with a history of recurrent UTIs. The study identified vesicoureteric reflux (VUR), where urine flows back from the bladder into the ureters and kidneys. VUR was graded as [grade], indicating [description of grade]. In another case, a MCU was performed on a 2-year-old boy with difficulty urinating. This showed a fusiform dilatation and elongation of the proximal posterior urethra persisting during voiding, as well as a transverse filling defect, indicating the presence of posterior urethral valves. Posterior urethral valves are congenital folds of tissue in the posterior
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- 1. POUCH OF DOUGLAS Pubali Kalita BPT
- 2. RectouterinePouchorPouchofDouglas - Therectouterinepouch(pouchofDouglas,or rectovaginalpouch)istheextensionoftheperitoneum intothespacebetweentheposteriorwallofthe uterusandtherectuminthehumanfemale. - Itisthemostdependentpartoftheperitonealcavity whenthebodyisintheuprightposition. - Mostdependentpartofthepelviccavitywhenthe bodyisinsupineposition.
- 8. Being the most dependent and lower area of the peritoneal cavity of females in the supine position, fluids (e.g. abscess, infection, ascites, hemoperitoneum, and even intraperitoneal drop metastases) preferentially collects here.