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 [4].
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 were detected.
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.