pouch of Douglas

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rec·to·u·ter·ine pouch

[TA]

a pocket formed by the deflection of the peritoneum from the rectum to the uterus.

Synonym(s): excavatio rectouterina [TA], cavum douglasi, cul-de-sac (2) , Douglas cul-de-sac, Douglas pouch, pouch of Douglas, rectovaginouterine pouch

pouch of Douglas

The space, lined with PERITONEUM, between the womb and the rectum. (James Douglas, 1675–1742, Scottish anatomist).

References in periodicals archive ?

Similar to pelvic organ prolapse, Pouch of Douglas hernia also can present with symptoms of:

When is her pelvic pressure and bulge due to Pouch of Douglas hernia? Your patient reports symptoms similar to pelvic organ prolapse, but prolapse is not the problem. These authors offer how to make an accurate diagnosis

The nodule is then excised by continuing along the original shape (triangular) of the pouch of Douglas (see photo at bottom of column).

Obliterated cul-de-sac dissection

Caption: Figure 3: The area in the Pouch of Douglas where the abdominal pregnancy was retrieved.

Successful Management of Abdominal Pregnancy: Two Case Reports

He finds endometriosis in adolescents mostly in the pouch of Douglas, on the uterosacral ligaments, and in the ovarian fossa.

Endometriosis in adolescents usually early stage and easily overlooked. (Different Presentation from Adults)

Two days after the operation, no drainage was observed in the pouch of Douglas and vaginal drainage tubes, hence they were removed.

Angiographic embolization in the treatment of Puerperal Hematoma

A defect of the Pouch of Douglas may lead to smallbowel hernia resulting in incarcerated intestinal obstruction which has been classified as perineal hernia entity [4].

Small Bowel Obstruction Caused by Internal Hernia through a Peritoneal Defect of the Pouch of Douglas: Report of a Case and Review of the Literature

of Biopsy Endometriotic Endometriotic Site Site by Site by Laparoscopy Histopathology Right Uterosacral 32 18 (56.2%) 9 (28.1%) Left Uterosacral 33 17 (51.5%) 9 (27.3%) Pouch of Douglas 43 27 (62.8%) 12 (27.9%) Right Ovarian Fossa 41 28 (68.3%) 13 (31.7%) Left Ovarian Fossa 41 25 (61%) 11 (26.83%) Total Peritoneal Site 190 115 (60.53%) 54 (28.4%) Adnexal Mass 37 24 (64.9%) 20 (54.1%) Total 227 139 (61.23%) 74 (32.6%) No.

A prospective study on laparoscopic and histopathologic diagnosis of endometriosis

On ultrasonogram (USG) a thick walled gallbladder, cholelithiasis, portal lymphadenopathy and minimal fluid in the pouch of Douglas were detected.

Gallbladder tuberculosis mimicking carcinoma gallbladder: a case report

An unusual case of hydatid cyst of the ovary and pouch of douglas. J Obstet Gynecol India2010; 60; 345-347.

Hydatid cyst presenting as ovarian cyst: a case report

Patients were treated for severe pelvic pam, rectorrhagia, and/or abnormal findings on physical examination of the uterosacral ligaments, the rectum, and the pouch of Douglas. Surgeons performed a partial colorectal resection in nine patients, a partial colpectomy in two of the patients, and resected the uterosacral ligaments in eight patients and the pouch of Douglas in nine patients.

MRI can help diagnose rectal endometriosis. (Preliminary Study)

1) On right side, a ruptured haemorrhagic cyst of ovary of ~3*4 cm in size was present with minimal blood in pouch of douglas. POC was puntured and fluid was drained with suction cannula laparoscopically.

Torsion of paraovarian cyst resulting in secondary torsion of ovary

Pervaginal examination showed tender Cervical movements with fullness of pouch of douglas, exact size of uterus could not be made out.