Douglas pouch abscess

An abscess of the Douglas space is not an independent disease, but a complication of purulent processes in the pelvis or abdomen. With progressive development, there is a danger of a breakthrough into the rectum, bladder, small intestine and free abdominal cavity.

The reasons

The most common cause is destructive acute appendicitis and purulent inflammation of the uterine appendages.


The disease begins with gradually rising septic temperatures, leukocytosis, tenesmus, and mucus in the stool. Rectal quenching reveals Douglas space bombardment, edema, and possible fluctuation.


The diagnosis is not difficult. The results of a puncture from the rectum or through the posterior vaginal fornix contribute to a reliable diagnosis.


Surgical treatment is being carried out. There are three accesses: rectal, vaginal and sacral.

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