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Douglas Bay lies at the back of a smaller woman’s pelvis and is called the recto-uterine cavity. A healthy woman should be free from Douglas Bay, and if anything, only in trace amounts. What can the fluid in Douglas Bay show? What are the causes of this ailment and how to treat it?
What is Douglas Bay?
Douglas Bay is the recess or recess of the recto-uterine cavity, which is the anatomical space that fits in the back of a smaller woman’s pelvis. Douglas Bay is located between the posterior wall of the uterus, the supravaginal part of the cervix, the posterior vaginal forge, and the anterior rectal wall. Douglas Bay in a healthy woman is not filled with any fluid. If a fluid in Douglas Bay is diagnosed, it could indicate a variety of conditions in the body.
Bay fluid in Douglas – the causes
There are various factors that can cause fluid to appear in Douglas Bay. The most common causes include:
- ovarian cyst rupture;
- ovarian hydrocele;
- endometriosis;
- rupture of an ectopic pregnancy;
- adnexitis;
- ovarian cancer;
- peritonitis;
- enteritis;
- cirrhosis;
- circulatory failure;
- inflammation of the small pelvis
Fluid in Douglas Bay – symptoms
The symptoms associated with the appearance of fluid in Douglas Bay depend on the cause of the symptoms. In the event of an ovarian cyst rupture, there are disturbances in the menstrual cycle, irregular bleeding not related to the cycle, pain in the lower abdomen and pains in the area of the ovary where the cyst is located. Other symptoms of the appearance of fluid in Douglas Bay are nausea, vomiting, diarrhea, and loss of appetite. Occasionally there is a fever or low-grade fever.
Douglas Bay Fluid – Diagnostics
If there is a suspicion of fluid in Douglas Bay, the doctor performs a gynecological examination and ultrasound of the abdominal cavity and pelvis. If fluid is found in Douglas Bay, another test, beta hCG, is required. This test can rule out an ectopic pregnancy. In order to perform a detailed diagnosis and identify the cause of the fluid in Douglas sinus, a puncture of the recto-uterine recess is performed. This procedure is performed under general anesthesia in hospital conditions. During the examination, material is collected for analysis, which allows to find out the cause of the ailments. The puncture is made through the woman’s vagina using a syringe and a 20 cm needle. The obtained material is subjected to cytological examination in order to confirm or exclude a neoplastic disease. If there is pus in the fluid, it can be diagnosed with pelvic or abdominal inflammation. The presence of clots in the fluid indicates bleeding into the peritoneal cavity from a ruptured ectopic pregnancy, a ruptured ovarian cyst, or the presence of peritoneal endometriosis.
Douglas Bay Fluid – Treatment
Treatment of ailments depends on the cause of the appearance of fluid in Douglas Bay. Treatment is about fighting the causes. If the cyst ruptures, an operation is needed and the cyst is removed. If the fluid appeared due to an ectopic pregnancy, it should be removed by laparoscopy.
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