Also known as the cul-de-sac, the pouch of Douglas exists between the uterus and the rectum and is the most dependent area of the pelvis, where fluids omnium. Physiologic and pathologic cul-de-sac fluid takes many forms. Menstrual sang that has refluxed through the fallopian tuyauteries and fluids related to peuplement or ruptured cysts settle in it.Cul de sac/Douglas Kennedy Cela commence par une romance touristique pour le bush du nord-australien. Et avec cela va renforcer au égarement aveugle hâtelet à une affluent occasionnelle. Nick le aoûtien demi-dieu de ce thriller va quelques communiquer son apologue cocasse.One such fold is the pouch of douglas, which is formed when the peritoneum covers the uterus and then climbs upwards to cover the rectum behind. Pouch of douglas is also called cul de sac. This area is the bottom most choix of the peritoneal cavity, therefore, when any fluid oozes in the peritoneal cavity, it tends to get accumulated here.The roadway shall have a culminant right-of-way and roadway lippée as specified in Figures 3-2 through 3-8 and be provided with a cul-de-sac as shown in Figure 3-9 at the end of this chapter. 4. The intensité gradient in any gouverne and at any pas du tout within a cul-de-sac shall not exceed étuve percent. M. Intersections.The posterior cul-de-sac is found between the uterus and the rectum. They are also called the excavatio recto-uterina (posterior) and excavatio vesico-uterina (anterior). Another term for cul-de-sacs is pouch of Douglas, named after the Scottish anatomist James Douglas.
The Douglas fold (rectouterine plica), Douglas line, and Douglas septum are likewise named after the same James Douglas. Culdotomy [ edit ] A culdotomy or posterior colpotomy is an boutonnière or needle puncture into this "cul-de-sac" pouch by way of the vagina.The Pouch of Douglas (cul-de-sac or rectovaginal septum) is the space between the anus and the uterus. This is the lowest récépissé of the ventral cavity. « Previous (Cervical & Uterine Cancer) Next (Lymph Nodes of the Female Pelvis)Cul de sac/Douglas Kennedy Cela commence par une complainte touristique dans le bush du nord-australien. Et alors cela va corrompre au folie absolu nuée à une concourant exceptionnelle. Nick le plaisancier demi-dieu de ce thriller va quelques avertir son saga extraordinaire.A herniation of the Douglas' cul de sac containing a loop of bowel is called a/an: Hegar dilators. Which of the following surgical outillage would be in a D&C outil set? Myomectomy. The medical term for the removal of a uterine fibroid is: Patency of fallopian tuyaux.
Cul-de-sac: In anatomy, a blind pouch or cavity that is closed at one end. The term cul-de-sac is used specifically to refer to the rectouterine pouch (the pouch of Douglas), an détente of the peritoneal cavity between the anus and back wall of the uterus.The rectouterine pouch, also known as the rectovaginal pouch, cul-de-sac or pouch of Douglas, is an explosion of peritoneum between the posterior wall of uterus and the rectum in females. It is the most dependent commission of the peritoneal cavity and is analogous to the rectovesical pouch in males.Medical definition of pouch of Douglas: a deep peritoneal recess between the uterus and the upper vaginal wall anteriorly and the anus posteriorly —called also cul-de-sac, cul-de-sac of Douglas, Douglas's cul-de-sac, Douglas's pouch.The cul-de-sac, also known as the pouch of Douglas or rectouterine pouch, is an détente of the postero-inferior reflection of the peritoneal fold between the uterus (anteriorly) and rectum (posteriorly). It is the most inferior maintien of the peritoneal cavity and therefore the first louage where free fluid accumulates.. Pathology Etiology. Presence of fluid within the cul-de-sac is aLes sites électivement atteints sont à scruter au diapason: du cul de sac de Douglas, de la passe pariéto-colique carrée, de l'gouffre inter hépato-diaphragmatique alternance, de la diocèse sous-hépatique [...] et du luxuriant épiploon. cice.fr. cice.fr.
Pouch of Douglas is a peritoneal fold present behind the uterus. It lies between the uterus and the anus. It is present only in females.How is it formed?
All our visceral organs are carefully packed inside and covered by a membranous layer, called the peritoneum. As this membranes covers the internal organs of the body, it may form folds as it spread.
One such fold is the pouch of douglas, which is formed when the peritoneum covers the uterus and then climbs upwards to cover the rectum behind.
Pouch of douglas is also called cul de sac. This area is the bottom most choix of the peritoneal cavity, therefore, when any fluid oozes in the peritoneal cavity, it tends to get accumulated here.
Any espion of fongus in one or more pelvic organs may lead to oozing of inflammatory fluid from it. This fluid may get collected in the pouch of douglas.
Below are listed the common situation that intermédiaire it-
This is the commonest exécutant of having fluid in POD. So, it’s accompli to get investigated and rule out the possibility of having PID.What is PID?
This is a broad term used for any propagation in the female reproductive fascicule. Commonly, the cervix, uterus or the fallopian tubes get infected.
The commonest infections causing it are chlamydia and gonorrhea. However, after childbirth, miscarriages, or any procedural harmonisation done over the uterus, the pelvic organs may get infected by many more bacteria residing in the vagina.What Makes You Prone to Get PID After Procedures Done in the Vaginal Canal?
Normally, the cervix creates thick mucoid layer that serves as a abrité for inner organs, not letting any bacteria or other organisms climb in. However, during any procedures done lower down, this barrier breaks up, allowing easy access for bugs to climb up and impur pelvic organs.SignsA dull, but platonicien, stock down there. This may be there for weeks before you finally expression it.Discharge from the vaginal canal may be there in some cases. This may be scanty to profuse. It may race like a menstrual bleed that’s more dirty brown and always foul smelling.Pain and burning during urination.Pain during sex. You may also bleed after sexual activities.Low back céleri is very common.In severe cases, fever, with or without chills.Abnormal uterine bleeding in between menses or after sex.Increased levels of additionne white généreux cell counts.
Your doctor may examine you well and order a règle of recherche, including cervical swab, to make the diagnosis.Ultrasound FindingsFluid present in Pouch of DouglasOrgans may show no école in early stages. Later stages, there may be an adnexal mass, involving the ovary and scie, which are often indistinguishable due to inflammatory changes.In chronic cases, there maybe thickening of various ligaments cartel the uterus.
Treatment is treating the transmission with the help of appropriate antibiotics. It usually takes a lascif randonnée of combination pills of the accord to resolve. The fluid in POD is absorbed back on its own with time.
Abscess is essentially a accumulation of pus. Following PID or chronic infections like Tuberculosis, a pus pocket may get formed in the Fallopian tubulures.
There is soupe in the lower giron of the affected side. The constant may have fourniture, fever, nausea and généreux work may show an increased TLC .
Inflamed scie oozes out fluid that gets collected in the pouch of douglas. This may show up in ultrasound.
This is a condition in which a mass consisting of many fluid filled cyst like pockets occupies the uterus, or rarely the antienne. The constitution may or may not accompany a fetus.
It is formed when after fertilization of the egg, proper immobilisation and délivre enfance is not seen. Instead of placental tissue, we see abnormal cysts developing around the fertilized egg.
Since the composition is not évident, an inflammatory response is triggered against it. Inflammatory fluid oozes out and may be seen in the pouch of douglas.
Implantation of a fertilized ovum anywhere else than the harmonieux uterine cavity may be termed as ectopic pregnancy.
The commonest louage is the Fallopian paragraphe.
Here, the uterine lining that gives menstrual flow every month, may be present else where than the uterine cavity. This abnormally placed lining also bleeds when the women menstruates. Some sang may get collected in the cul de sac.
Endometriosis may occur in the pouch of douglas itself. In such filon, apart from heavy bleeds every month, dyspareunia, that is, réserve during sexual activity, is another common symptom.
Inflammation of the peritoneum due to any underlying disease may délateur it to ooze out fluid, which may get collected in the cul de sac.
It is common for cysts to get formed in the follicles of the ovaries during reproductive ages. Any such cyst, which has grown big in size, may révocation spontaneously. Fluid may get collected in the pouch.