Pouch Of Douglas Diagram
Infection of the douglas space.
Pouch of douglas diagram. It is a small extension of the peritoneal cavity which lies between the uterus and the rectum this structure is named after dr. Explanations for the primordial pouch are that it protects vital organs during cat fights or it allows cats to be more flexible when running and jumping or that the primordial pouch gives cats room to store some extra food when they overeat. It is a long and narrow structure located at the lower portion of the peritoneal cavity.
The pouch of douglas is an area of the peritoneal cavity located between the rectum and the uterus posterior wall. The pouch of douglas is the lowest area of the peritoneal cavity in women. The douglas fold rectouterine plica douglas line and douglas septum are likewise named after the same james douglas.
Retroperitoneal endometriosis is thought to be caused by metaplasia of mullerian remnants located in the rectovaginal septum and is sub classified into groups according to location. The recto uterine pouch of douglas is actually an extension of the peritoneum which lies between the posterior wall of the uterus and the rectum in females only. Perineal ballooning during maximal straining is highly suggestive of the diagnosis with final diagnosis confirmed.
Nov 5 2016 this pin was discovered by shams iqubali. Pouch of douglas hernia is an important but often unrecognized cause of pelvic pressure and defecatory dysfunction. Many endometrial patches and there may be scarring adhesions between the uterus and the rectum called the pouch of douglas see diagram stage iii moderate as above but also with adhesions involving the ovaries.
Culdotomy edit a culdotomy or posterior colpotomy is an incision or needle puncture into this cul de sac pouch by way of the vagina. Woman s world explains that when a cat is hunting she may stretch out to her fullest body length and the cat pouch may give her more room to stretch. James douglas a scottish physician who worked in the 18th century and was especially interested in this area of the anatomy several other anatomical features are named for dr.
Retroperitoneal disease may be confused by massive disease in the deepest portions of the pouch of douglas buried deep to adhesions. Schematic diagram of obliteration of the cul de sac with uterosacral ligament plication sutures. The retro uterine pouch when referred to as the pouch of douglas refers to the scottish anatomist james douglas who first identified.
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