Causes of Fluid in the Pouch of Douglas
- Pelvic Inflammatory Disease. This is the commonest cause of having fluid in POD. ...
- Tubo Ovarian Abscess. Abscess is essentially a collection of pus. ...
- Hydatidiform Mole. ...
- Ectopic Pregnancy. ...
- Endometriosis. ...
- Peritonitis. ...
- Ruptured Ovarian Cyst. ...
What causes pus in the pouch of Douglas?
Pelvic Abscess Seen as a soft, bulged swelling of the Pouch of Douglas, pelvic abscess is usually caused by pelvic inflammatory diseases. In this condition, pus accumulation is seen originating from the previous genital tract infection. This is usually managed by antibiotics and drainage.
What does fluid in the pouch of Douglas mean?
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. Furthermore, can fluid in the pouch of Douglas Cause Infertility?
What is the pathophysiology of pouch of Douglas?
: Physiologic and Pathologic States of the Pouch of Douglas Being located in the farthest location of the abdominopelvic cavity among women, the Pouch of Douglas is at risk for accumulation of pus and fluids. It has inclinations for spread of tumor, ascites, and endometriosis.
What causes fluid in the cul-de-sac?
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. 1. Nyberg DA, Laing FC, Jeffrey RB.
What does fluid in the pouch of Douglas indicate?
A small amount of fluid in the cul-de-sac is normal. But if the sample shows signs of pus or blood, the area may need to be drained. Blood in the fluid could mean a cyst has ruptured or there is a tear. It could also be a sign of an ectopic pregnancy.
What causes fluid collection 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 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.
How do you drain the fluid out of a pouch of Douglas?
Culdocentesis is a medical procedure involving the extraction of fluid from the pouch of Douglas (a rectouterine pouch posterior to the vagina) through a needle....CuldocentesisICD-9-CM70.0MedlinePlus0039192 more rows
What causes fluid in the womb when not pregnant?
Fluid collections may be due to cervical stenosis, hematometra, or pyometria. Additionally, prior irradiation, gynecologic malignancies (including uterine, cervical, tubal, and ovarian cancer), and endometrial hyperplasia contribute to causes of fluid accumulation (Fig.
What does it mean if 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.
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.
What can cause free fluid in the pelvis?
The identifiable traumatic causes of pelvic free fluid included one or more of the following: splenic injury (23 cases) (Fig 3), liver injury (17 cases) (Fig 3), pelvic fracture (11 cases), bowel injury (11 cases), mesentery hematoma (seven cases), pancreas injury (three cases), bladder injury (three cases), and ...
What causes free fluid in cul-de-sac?
Cul de sac fluid normally accumulates after a follicle has ruptured and indicates a woman has ovulated. In some cases, excessive cul de sac fluid is a sign of an acute problem that needs to be addressed including a ruptured ovarian cyst, ovarian hyperstimulation syndrome (OHSS), or ectopic pregnancy.
Does pouch of Douglas have fluid?
The pouch of Douglas should always be evaluated at the time of a transvaginal ultrasound, as the findings are often helpful in supporting a pelvic pain diagnosis. Because fluid from the pouch of Douglas protects the body from contamination, checking it on transvaginal ultrasound is vital.
How do I examine my pouch of Douglas?
1:342:54Rectouterine pouch (rectouterine excavation, pouch of Douglas)YouTubeStart of suggested clipEnd of suggested clipIt's accessible to certain transvaginal procedures such as needle aspiration and endo vegetalMoreIt's accessible to certain transvaginal procedures such as needle aspiration and endo vegetal ultrasound.
Can fluid in the uterus cause infertility?
If only one fallopian tube becomes blocked, it is still possible to conceive without intervention, as eggs from the other ovary will still be able to reach the uterus. However, the fluid buildup in the affected tube could leak into the uterus and interfere with implantation, preventing pregnancy from occurring.
What causes fluid to accumulate in the cul de sac?
Fluid contained in the cul de sac may have originated from a ruptured ovarian cyst. There may have been an ovarian cyst, a small fluid filled sac, present inside the pouch. This cyst may have eventually ruptured, causing the fluid accumulation within the cul de sac.
What is inside the pouch of Douglas?
Being located in the farthest location of the abdominopelvic cavity among women, the Pouch of Douglas is at risk for accumulation of pus and fluids. It has inclinations for spread of tumor, ascites, and endometriosis.
Where is the pouch of Douglas located?
The Pouch of Douglas is an area of the peritoneal cavity located between the rectum and the uterus’ posterior wall. It is a long and narrow structure located at the lower portion of the peritoneal cavity.
Is the pouch of Douglas a pelvic organ?
The Pouch of Douglas, may be a pelvic organ, with its location at the pelvic region, and its function related to that of the other organs of the pelvis, but, it also has relations to the digestive and even renal systems.
Is there fluid in the pouch of Douglas?
Fluid in the Pouch of Douglas. Presence of minimal fluid within the retrouterine pouch does not have much of a significance. During a normal menstrual cycle, a small volume of fluid may be found collected within the pouch. This fluid dissipates spontaneously, and is of normal physiology. [ 5]
Who is the Pouch of Douglas?
Pouch of Douglas: The Facts. The term was derived and named after Scottish anatomist, James Douglas, who conducted studies regarding the female body. Among its other terms include rectouterine pouch, rectouterine excavation, Ehrhardt-Cole recess, cul-de-sac, and cavum Douglasi. [ 1]
Is a pelvic pouch a sac?
Hence, it is more than just a pelvic pouch, more than just a sac for collecting fluid in the pelvis.
