What can occur in the rectouterine pouch?
The rectouterine pouch, being the lowest part of the peritoneal cavity in a woman at supine position, is a common site for the spread of pathology such as ascites, tumour, endometriosis, pus, etc.
Can fluid in the pouch of Douglas cause pain?
Summary. Two small pouches called cul-de-sacs are located on either side of the uterus. 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.
Why might fluid accumulate in the rectouterine pouch during an ectopic pregnancy?
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. Blood, pus and other fluids in the abdominal cavity collect in the pouch because of its dependent location and gravity.
How do you drain a rectouterine pouch?
In the procedure, the rectouterine pouch is often reached through the posterior fornix of the vagina. The process of creating the hole is called colpotomy if a scalpel incision is made to drain the fluid rather than using a needle….
| Culdocentesis | |
|---|---|
| ICD-9-CM | 70.0 |
| MedlinePlus | 003919 |
What is mild fluid in pod?
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.
What does free fluid in pouch of Douglas mean?
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.
What causes 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 are the indications for Culdocentesis?
Culdocentesis is a procedure to obtain free fluid from the cul de sac of women. Physicians who provide comprehensive or gynecologic care to women should be capable of this procedure. The main indications are suspected ectopic pregnancy and suspected acute salpingitis or pelvic inflammatory disease.
When do you do Culdocentesis?
Culdocentesis is a procedure which checks for abnormal fluid in the space that is just behind the vagina, the posterior cul-de-sac. This procedure is done when pain occurs in the lower abdomen and pelvic regions, and other tests suggest that fluid may be present in the cul-de-sac.
What causes free fluid in the pouch of Douglas?
Where will a needle be passed to aspirate some fluid from the rectouterine pouch via the Culdocentesis route?
Culdocentesis is a procedure in which peritoneal fluid is obtained from the cul de sac of a female patient. It involves the introduction of a spinal needle through the vaginal wall into the peritoneal space of the pouch of Douglas.
What is the clinical significance of the rectouterine pouch?
Clinical significance. As it is the furthest point of the abdominopelvic cavity in women, it is a site where infection and fluids typically collect. The recto-uterine pouch is used in the treatment of end-stage renal failure in patients who are treated by peritoneal dialysis.
What is a puncture wound?
A puncture wound is caused by an object piercing the skin and creating a small hole. Some punctures are just on the surface. Others can be very deep, depending on the source and cause. A puncture wound does not usually result in excessive bleeding.
How much fluid should be in the rectouterine pouch during menstruation?
It is normal to have approximately 1 to 3 ml (or mL) of fluid in the rectouterine pouch throughout the menstrual cycle. After ovulation there is between 4 and 5 ml of fluid in the rectouterine pouch.
What is another name for the recto-uterine excavation?
The rectouterine (or recto-uterine) pouch is also called the rectouterine excavation, uterorectal pouch, rectovaginal pouch, pouch of Douglas (after anatomist James Douglas, 1675–1742), Douglas pouch, Douglas cavity, Douglas space, Douglas cul-de-sac, Ehrhardt–Cole recess, Ehrhardt–Cole cul-de-sac, cavum Douglasi, or excavatio rectouterina.