What is pouch of douglas

But you have it, Ginge. The flesh is soft and bloody. Provenance: Commissioned; not externally peer reviewed. Publication of your online response is subject to the Medical Journal of Australia 's editorial discretion. You will be notified by email within five working days should your response be accepted. Basic Search Advanced search search. Use the Advanced search for more specific terms. Title contains. Body contains. Date range from. Date range to. Article type. Author's surname.

First page. Issues by year. Article types. Research letters. Guidelines and statements. Narrative reviews. Ethics and law. Medical education. Volume Issue Med J Aust ; 11 : Topics History and humanities. View this article on Wiley Online Library. Inflammatory effusions can have a variety of ultrasound features depending on the stage of the disease process. The discovery of filmy adhesions in the cul-de-sac fluid is suggestive of a past or chronic infection. A full urinary bladder may displace pelvic fluid out of the pouch of Douglas.

This could lead to the mistaken diagnosis of ascites, which would have significant clinical implications. The ultrasound definition of ascites has been described as fluid filling the pouch of Douglas and extending beyond the fundus of the uterus. A better definition or actual quantification of the fluid is needed as the size of a uterus varies from individual to individual. Measurements of the largest pocket of fluid were taken in three planes: height, length and depth. If the fluid surrounded the uterus and was found anterior and superior to the uterus as well, the volume of the uterus was calculated and subtracted from the measurement of the fluid pocket.

The study determined that the measurements of fluid volumes correlated with the amount of fluid instilled in the patient during the study and were reproducible.

On the other hand, the absence of fluid in the pouch of Douglas may also have clinical significance. Differential diagnosis of free fluid in cul de sac pouch of Douglas. Reference article, Radiopaedia. URL of Article. Pathology Etiology Presence of fluid within the cul-de-sac is a common finding, and the underlying cause can be thought of as either physiological or pathological.

Sonographic detection of subtle pelvic fluid collections. Contemporary management of ectopic pregnancy. J Reprod Med. Pubmed citation 3. Hydatidiform mole presentation as a tubal ectopic pregnancy. Fundamentals of Diagnostic Radiology.

Read it at Google Books - Find it at Amazon 2. William Alexander Newman Dorland. Dorland's Illustrated Medical Dictionary. Terminologia Anatomica. Federative International Programme for Anatomical Terminology, Related articles: Anatomy: Abdominopelvic.

Promoted articles advertising. Figure 1 Figure 1. Loading more images