Culdocentesis is a medical procedure involving the extraction of fluid from the pouch of Douglas (a
rectouterine pouch
The rectouterine pouch (recto-uterine pouch), pouch of Douglas, or rectovaginal pouch is the extension of the peritoneum between the rectum and the posterior wall of the uterus in the human female. Its anterior boundary is formed by the posterior ...
posterior to the
vagina
In mammals, the vagina is the elastic, muscular part of the female genital tract. In humans, it extends from the vestibule to the cervix. The outer vaginal opening is normally partly covered by a thin layer of mucosal tissue called the hy ...
) through a needle. It can be one diagnostic technique used in identifying
pelvic inflammatory disease
Pelvic inflammatory disease, also known as pelvic inflammatory disorder (PID), is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Often, there may be no ...
(in which case
purulent fluid
Pus is an exudate, typically white-yellow, yellow, or yellow-brown, formed at the site of inflammation during bacterial or fungal infection. An accumulation of pus in an enclosed tissue space is known as an abscess, whereas a visible collection ...
will be extracted) and ruptured ectopic pregnancies that cause hemoperitoneum.
In the procedure, the rectouterine pouch is often reached through the posterior
fornix of the vagina. The process of creating the hole is called colpotomy if a scalpel incision is made to drain the fluid rather than using a needle.
See also
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amniocentesis
Amniocentesis is a medical procedure used primarily in the prenatal diagnosis of genetic conditions. It has other uses such as in the assessment of infection and fetal lung maturity. Prenatal diagnostic testing, which includes amniocentesis, is n ...
*
colposcopy
Colposcopy ( grc, κόλπος, kolpos, hollow, womb, vagina + ''skopos'' "look at") is a medical diagnostic procedure to visually examine the cervix as well as the vagina and vulva using a colposcope.
The main goal of colposcopy is to preven ...
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culdoscopy
References
External links
*
"Culdocentesis and colpotomy"at
World Health Organization
The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level o ...
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Female genital procedures
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