NEET PG Medical – 2016 – Question – 95
Posterior perforation of stomach, collection of contents occurs in which pouch ?
a) Greater sac
b) Left subhepatic and hepatorenal spaces [pouch of Morrison]
c) Omental bursa
d) Right subphrenic space
Correct Answer – C
Ans. is ‘B’ i.e., Left subhepatic and hepatorenal spaces [pouch of Morrison]
A posterior gastric ulcer may perforate into the lesser sac (omental bursa). The leaking fluid passes out through epiploic foramen to reach the hepatorenal pouch. Sometimes in these cases the epiploic foramen is closed by adhesions. Then the lesser sac becomes distended, and can be drained by a tube passed through the lesser omentum.