Similar to pelvic organ prolapse, Pouch of Douglas
hernia also can present with symptoms of:
The nodule is then excised by continuing along the original shape (triangular) of the pouch of Douglas
(see photo at bottom of column).
Caption: Figure 3: The area in the Pouch of Douglas
where the abdominal pregnancy was retrieved.
He finds endometriosis in adolescents mostly in the pouch of Douglas
, on the uterosacral ligaments, and in the ovarian fossa.
Two days after the operation, no drainage was observed in the pouch of Douglas
and vaginal drainage tubes, hence they were removed.
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 .
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.
On ultrasonogram (USG) a thick walled gallbladder, cholelithiasis, portal lymphadenopathy and minimal fluid in the pouch of Douglas
An unusual case of hydatid cyst of the ovary and pouch of douglas
. J Obstet Gynecol India2010; 60; 345-347.
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.
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.
Pervaginal examination showed tender Cervical movements with fullness of pouch of douglas
, exact size of uterus could not be made out.