Costophrenic Recess

Costophrenic Recess: Anatomical review and clinical significance

The costophrenic recess, also known as the recessus costodiaphragmaticus or PNA, is an anatomical structure located at the bottom of the chest cavity. This depression is formed at the intersection of the lower ribs and the diaphragm - the main muscular section separating the chest and abdominal cavities.

Anatomically, the costophrenic recess is formed by pressing the lower ribs into the diaphragm. This depression is usually present on both sides of the chest cavity and takes the form of a small pit or depression. It is located inside the abdominal cavity, in the space between the lower ribs and the surface of the diaphragm. The costophrenic recess plays an important role in the functioning of organs located in the thoracic and abdominal cavities.

The clinical significance of the costophrenic recess lies in its association with various diseases and conditions. Physicians and radiologists can use this anatomical feature to diagnose various pathological processes in the chest and abdominal cavities, such as pneumothorax, pleural effusions, tumors and others.

For example, if you have pneumothorax, a condition in which air enters the pleural space (the space between the lungs and the outer surface of the chest), the costophrenic recess may be enlarged or visualized on chest x-rays. This is one of the signs of pneumothorax and helps doctors make the correct diagnosis.

In addition, the costophrenic recess may be involved in surgical procedures involving access to abdominal organs through the thoracic cavity. In surgery, it may be necessary to separate the ribs and diaphragm to gain access to the organs and perform the operation. Knowledge of the anatomical structure of the costophrenic recess is important for the successful performance of such surgical interventions.

In conclusion, the costophrenic recess is an anatomical feature related to the shape and function of the diaphragm and lower ribs. Its clinical significance lies in the diagnosis and treatment of various diseases associated with the thoracic and abdominal cavities. Doctors and surgeons actively use this recess to make diagnoses, plan surgical interventions and assess the condition of patients.

However, it should be noted that studying the costophrenic recess requires specialized skills and equipment, such as radiography, computed tomography or magnetic resonance imaging. Accurate interpretation of images and understanding of connections to other structures of the body are important aspects for successful diagnosis and treatment of patients.

In the future, with the development of medical technology and education, the study and understanding of the costophrenic recess will continue to progress. This will allow us to better understand its role in pathological processes and develop more effective diagnostic and treatment methods.

In conclusion, the costophrenic recess is an important anatomical structure associated with the thoracic and abdominal cavities. Its clinical significance in the diagnosis and treatment of various diseases makes it an important subject of study for physicians and surgeons. Understanding this structure and its relationships with other organs and tissues contributes to more accurate diagnosis and successful treatment of patients.



The costodiaphragmatic recess is a bone canal located at the junction of the costal part and the vertebral part. It has the shape of a triangle and is a fairly deep depression, which is the site of passage of the costal nerves and inspiratory muscles.

What are the functions of the costodiaphragmatic recess?