Culdocentesis

Culdocentesis (pronounced: kul-do-sen-TEE-sis) is a medical procedure that involves the puncture and aspiration of fluid from the pouch of Douglas (also known as the rectouterine pouch). This procedure is often used in the diagnosis of various gynecological conditions.

Etymology

The term "culdocentesis" is derived from the Latin "cul-de-sac" meaning "bottom of the bag" and the Greek "kentesis" meaning "puncture".

Procedure

During a culdocentesis, a needle is inserted through the vaginal wall, into the pouch of Douglas. If fluid is present, it can be aspirated and analyzed for the presence of blood or pus, which can help diagnose conditions such as ectopic pregnancy or pelvic inflammatory disease.

Indications

Culdocentesis is often performed when a woman presents with lower abdominal pain and there is suspicion of a gynecological condition such as an ectopic pregnancy or pelvic inflammatory disease. It can also be used to detect ovarian cyst rupture or hemoperitoneum.

Risks

As with any invasive procedure, culdocentesis carries some risks. These may include infection, bleeding, or injury to surrounding organs.

Related Terms

• Pouch of Douglas
• Ectopic pregnancy
• Pelvic inflammatory disease
• Ovarian cyst
• Hemoperitoneum

External links

• Medical encyclopedia article on Culdocentesis
• Wikipedia's article - Culdocentesis

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