肝腎陥凹
WordNet
- put into a recess; "recess lights"
- a small concavity (同)recession, niche, corner
- an enclosure that is set back or indented (同)niche
- make a recess in; "recess the piece of wood"
- resembling an alcove
PrepTutorEJDIC
- 〈C〉〈U〉(通常の活動の一時的な)『休み』,休憩 / 〈U〉《米》(学校の)休み時間,休暇 / 〈C〉(本棚・戸棚などをはめ込むための)(部屋の)引っ込み / 〈C〉《しばしば複数形で》《文》奥まった所,隠れた所 / 〈部屋〉‘に'引っ込みを作る;〈戸棚など〉‘を'引っ込みにはめ込む / 休憩する,休会する
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/10/01 18:04:17」(JST)
[Wiki en表示]
| Hepatorenal recess of subhepatic space (or Morison's pouch) |
|
Ultrasound Scan of the abdomen
|
| Details |
| Identifiers |
| Latin |
Recessus hepatorenalis,
recessus subhepatici |
| TA |
A10.1.02.427 |
| FMA |
14715 |
| Anatomical terminology
[edit on Wikidata]
|
The hepatorenal recess[1] (subhepatic recess, pouch of Morison or Morison's pouch) is the space that separates the liver from the right kidney. As a potential space, the recess is not filled with fluid under normal conditions. However, fluid can collect in this space in circumstances where the abdomen fills with fluid, such as hemoperitoneum. This fluid may be seen on ultrasound or computed tomography (CT scan).
Contents
- 1 Clinical importance
- 2 Etymology
- 3 Additional images
- 4 References
Clinical importance
Since it is a potential space, the hepatorenal recess is not normally filled with fluid. However, this space becomes significant in conditions in which fluid collects within the abdomen (most commonly ascites and hemoperitoneum). The intraperitoneal fluid, be it blood, ascites, or dialysate, collects in this space and may be visualized, most commonly via ultrasound or computed tomography (CT) scanning. As little as 30 or 40 ml of fluid in the abdominal cavity may be visualized in this space.
Early visualization of fluid in the hepatorenal recess on FAST scan may be an indication for urgent laparotomy.[2]
Etymology
The hepatorenal recess is also called the pouch of Morison, or Morison's pouch, after the British surgeon James Rutherford Morison.[3]
Additional images
-
A normal ultrasonographic view of Morison's pouch. The bright line is the capsule of the kidney; there is no fluid present and hence no visible space.
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Ultrasound of liver (left side of the image) and right kidney (right side of the image) and Morison's pouch, not containing fluid.
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Abdominal CT, showing Morison's pouch as the dark margin surrounding the right kidney (at lower left corner of image).
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Ultrasonographic view of the abdomen demonstrating fluid within Morison's pouch.
-
Morison's pouch with fluid present (at red arrows).
-
References
- ^ Forbis, Pat; Bartolucci, Susan L.; Stedman, Thomas Lathrop (2005). Stedman's medical eponyms. Hagerstown, MD: Lippincott Williams & Wilkins. p. 498. ISBN 0-7817-5443-7.
- ^ Weill F, Le Mouel A, Bihr E, Rohmer P, Zeltner F, Sauget Y (April 1980). "[Ultrasonic diagnosis of intraperitoneal fluid in Morison's pouch (and in the splenoperitoneal recess): the moon crescent sign (author's transl)]". J Radiol (in French). 61 (4): 251–6. PMID 7392002.
- ^ Morison's pouch at Who Named It?
|
Anatomy of the peritoneum and mesentery
|
|
| General |
|
|
| Abdominal |
From
ventral
mesentery |
- Lesser omentum
- Hepatoduodenal ligament
- Hepatogastric ligament
- Liver
- Coronary ligament
- (Left triangular ligament
- Right triangular ligament
- Hepatorenal ligament)
- Falciform ligament (Round ligament of liver and Ligamentum venosum in it, but not of it)
|
|
From
dorsal
mesentery |
- Greater omentum
- Gastrophrenic ligament
- Gastrocolic ligament
- Gastrosplenic ligament
- Mesentery
- Transverse mesocolon
- Sigmoid mesocolon
- Mesoappendix
- Root of the mesentery
- Splenorenal ligament
- Phrenicocolic ligament
- Folds
- Umbilical folds
- Supravesical fossa
- Medial inguinal fossa
- Lateral umbilical fold
- Lateral inguinal fossa
- Ileocecal fold
|
|
Abdominal
cavity |
- Greater sac
- Lesser sac
- Omental foramen
|
|
| General |
- Cystohepatic triangle
- Hepatorenal recess of subhepatic space
- Abdominal wall
- Peritoneal recesses
- Paracolic gutters
- Paramesenteric gutters
|
|
|
| Pelvic |
| Uterus/ovaries |
- Broad ligament of the uterus
- Mesovarium
- Mesosalpinx
- Mesometrium)
- Ovarian ligament
- Suspensory ligament of ovary
|
|
| Recesses |
- Male
- Recto-vesical pouch
- Pararectal fossa
- Female
- Recto-uterine pouch
- Recto-uterine fold (Uterosacral ligament)
- Vesico-uterine pouch
- Ovarian fossa
- Paravesical fossa
- Retroperitonium
|
|
|
| Spaces |
- Extraperitoneal space
- Retroperitoneal space
- Retropubic space
|
UpToDate Contents
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English Journal
- Breast metastasis from cutaneous malignant melanoma mimicking a breast cancer.
- Maniglio M1, Capalbo E, Viganò S, Trecate G, Scaperrotta GP, Panizza P.
- Tumori.Tumori.2015 Jun 25;101(3):e107-9. doi: 10.5301/TJ.2015.14503.
- INTRODUCTION: Breast metastases are very uncommon, either from solid tumors or malignant melanoma.CASE REPORT: We present the case of a 42-year-old woman with a history of cutaneous melanoma of the shoulder excised 21 years ago. She presented with a palpable lump in the upper outer quadrant of the r
- PMID 25908034
- Meaning of free intraperitoneal fluid in small-bowel obstruction: preliminary results using high-frequency microsonography in a rat model.
- Iacobellis F1, Berritto D, Belfiore MP, Di Lanno I, Maiorino M, Saba L, Grassi R.
- Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.J Ultrasound Med.2014 May;33(5):887-93. doi: 10.7863/ultra.33.5.887.
- OBJECTIVES: The aim of this study was to detect the onset, evolution, and meaning of extraluminal free fluid in a rat model of small-bowel obstruction using high-frequency microsonography.METHODS: Small-bowel obstruction was surgically created in 8 rats divided into 2 groups of 4 rats each. All rats
- PMID 24764344
- Morison's Pouch peritonectomy in cytoreductive surgery.
- Veerapong J1, Solomon H, Helm CW.
- Gynecologic oncology.Gynecol Oncol.2013 Oct;131(1):214. doi: 10.1016/j.ygyno.2013.07.083. Epub 2013 Jul 14.
- PMID 23863360
Related Links
- The hepatorenal recess or subhepatic recess is the space that separates the liver from the right kidney. As a potential space, the recess is not filled with fluid under normal conditions. However, fluid can collect in this space in ...
- HEPATORENAL RECESS High roller, high-roller, roller coaster roller. . Wall inguinal triangle. Merged into this qwiki about search. Greater sac of. Least obstructed for. Part connected with the. Illustrations about. Dependent area ...
★リンクテーブル★
[★]
- 英
- hepatorenal recess (Z)
- 同
- モリソン窩, Morison窩, Morrison's pouch、肝腎陥凹
- 仰臥位で最も低く、腹水がたまりやすい。エコーで確認したい部位の一つ。 → FAST
- 肝臓の下方かつ、腎臓と副腎の前方にある(M.158,159)
- 仰臥位(背臥位)になると、網嚢の中の液体がここに流れ込む
- 仰臥位については体位]参照
[★]
- 休み、休憩。休会。休廷。休暇。休み時間
- 穏退地]]。奥まったところ、奥底、隅。(山脈・海岸線などの)引っ込んだところ
- (解)陥凹、窩
- 後退