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Results for “DOUGLAS' POUCH”

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At least 73 records · Page 4Linked to original sources
PubMed1977

[Cytological study of the puncture biopsy specimens of the Douglas' pouch for early diagnosis of ovarian tumors].

The conducted studies indicated the diagnostic opportunities of a cytologic analysis of exudates and smears from the Douglas space in patients with a suspicion to ovarian tumor. Tumor cells may be present in the peritoneal cavity not only in different stages of malignant ovarian tumors, but also in secernent and proliferating cystadenomas. A correlation between the peritoneal cell content in patients with different forms of ovarian neoplasms and press-smears from the dissected surface of the removed tumors and histological sections indicated the morphological identitiy of tumor elements and enabled the determination of the cytological criteria for the differential diagnosis of ovarian tumors prior to surgical intervention.

Biopsy, Needle↗
PubMed1991

[Diagnosis of early extrauterine pregnancy by serum and Douglas pouch fluid hCG level].

In 44 patients with assumed ectopic pregnancy culdocentesis were carried out under transvaginosonographic control. In 23 cases, the clinical diagnosis ectopic pregnancy and in 16 cases, an early intact intrauterine pregnancy could be verified. Five patients had an early abortion. In all patients with an intact intrauterine pregnancy, the cul-de-sac liquid was serious. In 16 of the 23 cases of ectopic pregnancies, the fluid was bloody, 6 aspirates were bloody/serous and one serous. The findings in patients with an early abortion were as follows: three serous, one bloody/serous, one bloody. Further information could be gathered from the comparison of hCG-levels in simultaneously obtained serum samples and cul-de-sac liquid. All intact intrauterine pregnancies were associated with lower hCG-levels in the cul-de-sac liquid than in the serum (ratio: serum/cul-de-sac liquid greater than 1.3). In all ectopic pregnancies but one, we found an inverse constellation (ratio: serum/cul-de-sac liquid less than 0.7). In the described exceptional case the ratio was nearly 1 and when culdocentesis was repeated 5 days later, a ratio of 0.17 proved the clinically suspected ectopic pregnancy. In 3 cases of histologically confirmed intrauterine abortions, the hCG-level in the cul-de-sac liquid was lower than in the serum, in 2 cases of early abortions without histologically proved localisation the hCG-level was slightly above the level in the serum.

Abortion, Spontaneous↗