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.
Symptoms
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.
Diagnosis
The diagnosis is not difficult. The results of a puncture from the rectum or through the posterior vaginal fornix contribute to a reliable diagnosis.
Treatment
Surgical treatment is being carried out. There are three accesses: rectal, vaginal and sacral.