Does free fluid in cul-de-sac mean endometriosis?

Does free fluid in cul-de-sac mean endometriosis?

The authors found cul-de-sac fluid in 80.5 percent of women with endometriosis, suggesting that ultrasound imaging of this fluid was positively predictive of endometriosis.

What’s free fluid mean?

1. n. [Formation Evaluation] Fluid in the pore space that can flow under normal reservoir conditions. This fluid may include water, oil or gas, and will flow on production, injection or invasion.

What causes free fluid?

Free fluid is very common in appendicitis and occurs in up to 90% in some studies. Ascites usually is caused by chronic diseases especially of the hepatic system, but also the cardiac and renal system or multiple organ systems.

What causes free fluid in pelvis?

The identifiable traumatic causes of pelvic free fluid included one or more of the following: splenic injury (23 cases) (Fig 3), liver injury (17 cases) (Fig 3), pelvic fracture (11 cases), bowel injury (11 cases), mesentery hematoma (seven cases), pancreas injury (three cases), bladder injury (three cases), and …

What does free fluid mean in pregnancy?

Free fluid between the bladder and uterus, a mass between the bladder and uterus, or free fluid anywhere around the uterus is a concerning finding for possible ectopic pregnancy in the transabdominal views. Masses posterior to the uterus may be more difficult to identify.

What does free fluid in early pregnancy mean?

Context 1. adnexal mass or free pelvic fluid ( Figure 5) signifies a high probability of ectopic pregnancy, even if the gesta- tional sac or embryo is not visible. The presence of a cor- pus luteum cyst of pregnancy may confuse the picture. …

What is cul-de-sac in pregnancy?

Also known as the cul-de-sac, the pouch of Douglas exists between the uterus and the rectum, and it is the most dependent area of the pelvis, where fluids pool.

Is free fluid in pelvis bad?

Free fluid – a subjective measurement of fluid in the pelvis. Small amounts can be a normal finding. Moderate volumes might be associated with a ruptured ovarian cyst. Large volumes might indicate ascites.

Does free fluid in pelvis mean pregnancy?

After blunt abdominal trauma, the presence of free fluid in the pelvis of a pregnant patient may not be physiologic, especially if there is >2 mm to 4 mm, and there is no history of ovarian hyperstimulation syndrome or other known associations.

Does free fluid always mean ectopic?

A small amount of free fluid in the pelvis is a common finding, but echogenic free fluid in the Pouch of Douglas or Morrison’s pouch increases the likelihood of ectopic pregnancy significantly. Blood and clot from a ruptured ectopic or tubal miscarriage typically has a ‘ground glass’ appearance.

Is free fluid normal?

Overall, 38% of non-OC users and 36% of OC users demostrated cul-de-sac fluid at some point in the menstrual cycle. This study demonstrates that free pelvic fluid can be a normal finding in asymptomatic women without known gynecologic disease.

Where does the cul de sac fluid come from?

Also known as the cul-de-sac, the pouch of Douglas exists between the uterus and the rectum, and it is the most dependent area of the pelvis, where fluids pool. Physiologic and pathologic cul-de-sac fluid takes many forms. Menstrual blood that has refluxed through the fallopian tubes and fluids related to ovulation or ruptured cysts settle in it.

Where does free fluid accumulate in the uterus?

The cul-de-sac, also known as the pouch of Douglas or rectouterine pouch, is an extension of the postero-inferior reflection of the peritoneal fold between the uterus (anteriorly) and rectum (posteriorly). It is the most inferior aspect of the peritoneal cavity and therefore the first location where free fluid accumulates.

Why is the pouch of Douglas called a cul de sac?

One such fold is the pouch of douglas, which is formed when the peritoneum covers the uterus and then climbs upwards to cover the rectum behind. Pouch of douglas is also called cul de sac. This area is the bottom most portion of the peritoneal cavity, therefore, when any fluid oozes in the peritoneal cavity, it tends to get accumulated here.

What causes Filmy adhesions in cul de sac fluid?

Inflammatory effusions can have a variety of ultrasound features depending on the stage of the disease process. The discovery of filmy adhesions in the cul-de-sac fluid is suggestive of a past or chronic infection. A full urinary bladder may displace pelvic fluid out of the pouch of Douglas.