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The splenorenal recess (perisplenic space, pouch of Köller or Köller's pouch) is the anatomical space that separates the spleen and the left kidney. It is located in the left posterior axillary line at the level of the 10th and 11th ribs.[1]
As a potential space, the recess is not normally filled with fluid. However, intra-abdominal fluid (e.g. blood or pus) can accumulate here in circumstances where the abdomen fills with fluid, such as hemoperitoneum or splenic laceration. This fluid may be detected via ultrasound sonography when the patient is lying on their back, similar to the hepatorenal recess (Morison's pouch), which is located on the right side between the right kidney and liver. Like Morison's pouch, Köller's pouch is part of the Focused Assessment with Sonography for Trauma (FAST) exam in emergency medicine.[2]
- ^ Volker Bühren, Marius Keel, Ingo Marzi: Traumatic Checklist (German). Thieme-Verlag, 2012, ISBN 978-3-13-598107-9, S. 17. online at books.google, accessed on 19. April 2012.
- ^ Hilmer Burchade, Reinhard Larsen, Gernot Marx, Elke Muhl, Jürgen Schölmerich: Clinical manual of Intensive Medicine (German). Springer-Verlag, 2011, ISBN 978-3-642-16940-3, S. 415. online at books.google, accessed on 19. April 2012.