Fluid in Douglas

The Douglas Space is an organic pocket formed by the folds of the abdominal cavity and located between the posterior uterine wall and the rectum.

The Douglas space is the deepest part of the abdominal cavity of a woman.

With the passage of ultrasound, the Douglas space is the most likely zone of fluid accumulation in a woman.

In the case of damage to the blood or lymphatic vessels( what happens during the ectopic pregnancy) in this area, you can find, in addition to the fluid accumulated there, both blood and lymph.

When conducting diagnostic studies and searching for complications in ruptured cysts, ectopic pregnancy, fluid analysis in the Douglas space helps to determine the most probable problem in the body.

In the normal state of the body, the free liquid in the douglas is filled with cloudy contents( filled with pus), and in case of detection of blood, it may be possible to determine the presence of intra-abdominal bleeding.

A professional doctor will always see the whole clinical picture when making a diagnosis:

• presence of pain in the peritoneal cavity;
• dizziness;
• selection.

Modern researchers have not yet made an accurate determination of the amount of liquid in the Douglas space.

Although it is important that the normal amount of liquid is not more than 20ml.

Everything depends on the size of the small pelvis and on the constitutional features of the female body. This space does not occupy large volumes.

In such studies, it is important to indicate the period of time of fluid formation: if this occurs immediately after the release of the ovum, then the fluid in the douglas , which has been in existence for no more than two days, disappears asymptomatically.

If ultrasound shows signs of inflammation in any pelvic organ and the presence of fluid in the douglas, this may mean that the inflammation covers an increasing number of tissues, causing purulent reactions.

The main thing here is not to mix up the real presence of liquid and the Douglas pocket itself.