culdocentesis


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Related to culdocentesis: ectopic pregnancy, methotrexate

culdocentesis

 [kul″do-sen-te´sis]
transvaginal puncture of Douglas' cul-de-sac for aspiration of fluid.

cul·do·cen·te·sis

(kŭl'dō-sen-tē'sis),
Aspiration of fluid from the cul-de-sac (rectouterine excavation) by puncture of the vaginal vault near the midline between the uterosacral ligaments.
[cul-de-sac + G. kentēsis, puncture]

culdocentesis

Cytology The transvaginal passage of a needle to collect fluid and cells from the cul-de-sac of Douglas, aka rectouterine pouch–a space in the peritoneal cavity between the uterus and rectum; the fluid obtained may contain RBCs–in ruptured ectopic pregnancy, PMNs–in acute salpingitis, or malignant cells–in various cancers

cul·do·cen·te·sis

(kŭl'dō-sen-tē'sis)
Aspiration of fluid from the cul-de-sac by puncture of the vaginal vault near the midline between the uterosacral ligaments.
[cul-de-sac + G. kentēsis, puncture]

culdocentesis

Passing a needle through the upper back FORNIX of the vagina into the POUCH OF DOUGLAS so as to obtain a sample of blood, pus or other fluid for examination.
References in periodicals archive ?
Culdocentesis (or culpoceliocentesis) is used to evaluate hemoperitoneum in patients believed to have ectopic pregnancies.[15] The procedure consists of puncturing the peritoneal cavity to determine whether or not blood and serous fluids have collected in the cul-de-sac.
(2, 15) To establish the diagnosis we depended on history, clinical signs and symptoms, urine pregnancy test, abdominal USG, paracentesis abdominis and culdocentesis. Abdominal paracentesis and culdocentesis are unreliable in early unruptured or in tubal abortions with slow leak.
In addition, for those patients in whom the clinical suspicion of ectopic pregnancy is sufficiently high, culdocentesis should be considered as an adjunct to pregnancy testing in an attempt to more effectively exclude this potentially life-threatening disorder.
Culdocentesis is a consideration (particularly if pelvic ultrasonography is not readily available) with the finding of hemoperitoneum strongly suggestive of the diagnosis of ectopic pregnancy and indicating the need for immediate laparoscopy or laparotomy.
Based on history, clinical findings, urine test for pregnancy, ultrasonography, both trans abdominal and transvaginal, and histopathology cases were diagnosed as ectopic pregnancy.[5] Culdocentesis was done to confirm haemoperitoneum.
Ours being a referral Centre we received 53(98.14%) cases as ruptured ectopic which were confirmed by routine clinical examination, USG, and culdocentesis. Thirty one (58.4%) were haemodynamically stable while 22(41.5%) were in a shock state.
Culdocentesis showed fresh blood in pouch of Douglas.
Cervical movements tender and culdocentesis is positive.