Ultrasound Video showing two large masses in cul de sac. скачать в хорошем качестве

Ultrasound Video showing two large masses in cul de sac.

This video shows two large masses in cul de sac. The recto-uterine pouch, also known by various other names (e.g., a pouch of Douglas), In Obstetrics and Gynecology, is most commonly referred to as the posterior cul-de-sac. The rectouterine pouch, also known as the rectovaginal pouch, cul-de-sac, or pouch of peritoneum between the posterior wall of the uterus and the rectum in females. The Pouch of Douglas (POD), also known as the rectouterine pouch and posterior cul-de-sac, is bordered anteriorly by the posterior uterus and posteriorly by the rectosigmoid colon. It is lined by peritoneum which originates from remnants of the Mullerian system which does not participate in organogenesis Menstrual blood that has refluxed through the fallopian tubes and fluids related to ovulation or ruptured cysts settle in it. Likewise, blood from a ruptured ectopic pregnancy, inflammatory debris from a pelvic or appendiceal infection, and ascites due to malignancy, liver, or cardiac failure may collect here. A small amount of fluid in the cul-de-sac is normal and is usually not of concern. If the fluid sample shows signs of pus or blood, the area may need to be drained. Sometimes blood can be a result of a ruptured cyst or signs of an ectopic pregnancy. Fluid or blood in the Pouch of Douglas may be a feature of a tubal pregnancy that is aborting or that has ruptured. 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. The 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. Physiological Causes Physiological pelvic intraperitoneal fluid in women may be due to: Ruptured follicles Retrograde menstruation Increase in ovarian permeability due to estrogen influence Pathological Causes Ruptured ectopic Pregnancy Pelvic inflammatory disease Tubo-ovarian abscess Pelvic abscess/hematoma Ascites Following culdocentesis Hydatidiform mole Endometrial nodules in the Pouch of Douglas, uterosacral ligaments, and rectovaginal septum are generally larger and deeper than ordinary implants. They do not usually respond to drug treatment so they must be removed surgically. Peritoneal fluid in the pouch of Douglas (POD) on transvaginal ultrasound scan (TVS) is associated with hemoperitoneum in women with ectopic pregnancy (EP). The significance of free fluid (FF) with intrauterine pregnancies (IUP) has not been studied. The amount of free fluid that can normally be present in a pregnant patient is unknown. Evaluation of pelvic free fluid in a population of pregnant patients without an early history of trauma would help determine what amount of free fluid should raise suspicion of intra-abdominal injury in those who have suffered trauma. If left untreated, endometriosis can (however does not always) result in a range of symptoms, including Dysmenorrhoea (pain during menstruation) Pelvic pain. Infertility (the inability to become pregnant) or subfertility (a reduced ability to become pregnant) If an egg is released, scar tissue on the fallopian tubes can prevent the egg from traveling to the uterus (womb) and prevent fertilization. It can also prevent the sperm from reaching the egg. The Pouch of Douglas is an area within the pelvis behind your uterus where the ovaries and fallopian tubes sit.