Anatomy · Pelvis, Perineum and Reproductive Anatomy

In the male, which is the most dependent (lowest) peritoneal recess when the patient is lying supine?

  • A Rectovesical pouch
  • B Vesicouterine pouch
  • C Pararectal fossa
  • D Rectouterine pouch (Pouch of Douglas)
Correct answer: A. Rectovesical pouch

Explanation

In the male, the rectovesical pouch is the most dependent peritoneal recess when supine, situated between the rectum and the urinary bladder. The vesicouterine and rectouterine pouches are female anatomical structures. The pararectal fossae are lateral recesses and are less dependent than the rectovesical pouch. This distinction between male and female dependent recesses is frequently examined.

Reference: Gray's Anatomy, 42nd ed.

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