Morrison's pouch: Difference between revisions

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#REDIRECT [[Morison's pouch]]
 
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==Overview==
'''Morrison's pouch''' is the [[eponym]] for the hepato-renal space, named for British [[surgeon]] James R. Morrison (1853 - 1939). 
 
Morrison's Pouch is primarily a [[potential space]], meaning that in the state of normal function, there is no separation between the capsules of the [[liver]] and the right [[kidney]]. However, this space becomes significant in conditions in which fluid collects within the abdomen (most commonly, [[ascites]] and [[hemoperitoneum]]). 
 
The intra-peritoneal fluid can be 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.
 
The medical significance of this space primarily lies in the circumstance of [[hemorrhagic shock]] due to [[hemoperitoneum]]. Early visualization of fluid in Morrison's Pouch on FAST Ultrasound is an indication for urgent [[laparotomy]].
 
* A normal ultrasonographic view of Morrison's pouch. The bright line is the capsule of the kidney; there is no fluid present and hence no visible space.
 
[[Image:Morrisons-normal.jpg|400px]]
 
* Morrison's pouch with fluid present (red arrows).
 
[[Image:Morrisons-with-fluid.jpg|400px]]
 
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== References ==
[http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=7392002&dopt=AbstractPlus "Ultrasonic diagnosis of intraperitoneal fluid in Morrison's pouch (and in the splenoperitoneal recess): the moon crescent sign"]
 
[[Category:Anatomy]]
[[Category:Emergency medicine]]
 
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Latest revision as of 15:49, 22 March 2010

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