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The pouch of Douglas (cul-de-sac) represents the caudal extension of the peritoneal cavity. It is the rectovaginal pouch in the female and the rectovesical pouch in the male. The cul-de-sac is in a dependent position when either upright or supine; it is, therefore, a frequent location for seeded lesions.The pouch of Douglas, like the pouch of a mother kangaroo or a coin purse, can expand to accommodate growing or multiplying things.The presenting symptoms were varied, including abdominal pain and distension, abnormal uterine bleeding, lump at introitus and reduced stool caliber. The majority were thought to have either uterine or ovarian pathology except for four whose pre-operative scans suggested POD malignancies.
What is the purpose of the Douglas pouch?
The pouch of Douglas, like the pouch of a mother kangaroo or a coin purse, can expand to accommodate growing or multiplying things.
What are the symptoms of pouch of Douglas?
The presenting symptoms were varied, including abdominal pain and distension, abnormal uterine bleeding, lump at introitus and reduced stool caliber. The majority were thought to have either uterine or ovarian pathology except for four whose pre-operative scans suggested POD malignancies.
Rectouterine pouch (rectouterine excavation, pouch of Douglas) – Human Anatomy | Kenhub
Images related to the topicRectouterine pouch (rectouterine excavation, pouch of Douglas) – Human Anatomy | Kenhub
What causes accumulation of fluid in the pouch of Douglas?
The “mass effect” of a distended bladder may cause fluid in the pouch of Douglas to migrate to other parts of the peritoneal cavity, such as the peritoneal reflection over the fundus of the uterus. Fluid in this location produces a characteristic triangular “cap” and was present in 42 patients (29% of the study group).
What does pouch of Douglas means in pregnancy?
Pouch of Douglas: An extension of the peritoneal cavity between the rectum and the back wall of the uterus.
Does pouch of Douglas have fluid?
Culdocentesis is the puncture and aspiration (withdrawal) of fluid from the pouch of Douglas or rectouterine pouch. The pouch of Douglas or rectouterine pouch is formed between the part of the gut and the uterus. The procedure involves the introduction of a needle through the vaginal wall into the pouch of Douglas.
What is minimal free fluid in pouch of Douglas?
Minimal fluid in the POD can be due to multiple causes like menstruation, ovulation, blood or any infection. It has to be interpreted after correlating with your symptoms and the menstrual cycle. It is insignificant in most cases when found during routine scan when everything else is normal. Answered 4 years ago.
Can fluid in pouch of Douglas cause pain?
Fluid sometimes builds up in these pouches. A little fluid is normal, but if it contains pus or blood, or if it’s causing pain, there may be a bigger health problem.
See some more details on the topic What is the Douglas pouch? here:
The pouch of Douglas | The Medical Journal of Australia
The pouch of Douglas is a small area in the female human body between the uterus and the rectum. It has a name and a shape, but the essence …
Medical Definition of Pouch of Douglas – RxList
Pouch of Douglas: An extension of the peritoneal cavity between the rectum and the back wall of the uterus. Also known as the rectouterine pouch.
Rectouterine pouch | Radiology Reference Article – Radiopaedia
The rectouterine pouch (TA: excavatio rectouterina 3), also known as the rectovaginal pouch, cul-de-sac or pouch of Douglas, is an extension …
Primary Pouch of Douglas malignancies: A case series and …
The Pouch of Douglas (POD), also known as rectouterine pouch and posterior cul-de-sac, is bordered anteriorly by the posterior uterus and …
Does free fluid pod mean pregnancy?
Which day of period you have got free fluid in the pod. If it is near to ovulation time then it is due to rupture of egg. If not then it indicates infection.
Is pouch of Douglas removed in hysterectomy?
It seems to the editor that the uterosacral ligaments and pouch of Douglas are seldom removed when hysterectomy is performed in the type of cases reported in this paper; one achieves mobility of the uterus before its removal by cutting the uterosacral ligaments, not removing them; in these cases we are concerned about …
Rectouterine Pouch | Pouch of Douglas | Peritoneum
Images related to the topicRectouterine Pouch | Pouch of Douglas | Peritoneum
How do I get rid of fluid in my uterus lining?
For hydrothermal ablation, your provider will put a heated liquid into the uterus through a catheter. The liquid is pumped around your uterus to destroy the lining. After the procedure is done, your provider will pump any fluid out from your uterus and remove the instrument.
Can fluid in the uterus cause infertility?
Hydrosalpinx is the name for a condition in which a woman’s fallopian tube becomes blocked with fluid. There are different causes for this condition and symptoms can vary depending on the individual. Some women do not experience any symptoms, but hydrosalpinx can have a severe impact on fertility.
Can fluid in pouch of Douglas be pregnancy?
Fluid or blood in the Pouch of Douglas may be a feature of a tubal pregnancy that is aborting or that has ruptured. In the Pouch of Douglas, free fluid may emanate from a ruptured or leaking ectopic gestation and/or from a ruptured corpus luteum.
How is fluid in the pelvis treated?
Conclusion: Transvaginal sonographically guided drainage is effective treatment of pelvic abscess, being either completely curative or temporizing in 78% of patients. Catheter treatment was unsuccessful and surgery was necessary in 22% of patients.
What is the meaning of pod fluid?
Objectives. Peritoneal fluid in the pouch of Douglas (POD) on transvaginal ultrasound scan (TVS) is associated with hemoperitoneum in women with ectopic pregnancy (EP).
Does free fluid mean ovulation?
Indications of ovulation include the following: Disappearance or sudden decrease in follicle size. Increased echogenicity inside the follicle, indicating corpus luteum formation. Free fluid in pelvis (or pouch of Douglas).
What causes fluid in the womb?
It’s often unclear why too much fluid sometimes builds up during pregnancy, but it can be caused by: a twin or multiple pregnancy. diabetes in the mother – including diabetes caused by pregnancy (gestational diabetes) a blockage in the baby’s gut (gut atresia)
What is the Pouch of Douglas
Images related to the topicWhat is the Pouch of Douglas
What does free fluid mean in an ultrasound?
Free intraperitoneal fluid may be termed free fluid or (less correctly) free intra-abdominal fluid. It may be seen in small volumes in female patients, particularly around the time of menses and in some healthy young men. When free fluid is present in large amounts it is usually called ascites.
What does it mean when you have fluid in your pelvis?
Pelvic inflammatory disease (PID) is an infection of one or more of the upper reproductive organs, including the uterus, fallopian tubes and ovaries. Untreated PID can cause scar tissue and pockets of infected fluid (abscesses) to develop in the reproductive tract, which can cause permanent damage.
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