{"id":3503,"date":"2024-01-04T11:49:16","date_gmt":"2024-01-04T11:49:16","guid":{"rendered":"http:\/\/drhimanshuyadav.com\/fluid-in-the-anterior-or-posterior-capsule\/"},"modified":"2024-01-04T11:49:16","modified_gmt":"2024-01-04T11:49:16","slug":"fluid-in-the-anterior-or-posterior-capsule","status":"publish","type":"post","link":"https:\/\/drhimanshuyadav.com\/blog\/fluid-in-the-anterior-or-posterior-capsule\/","title":{"rendered":"Fluid in the anterior or posterior capsule"},"content":{"rendered":"<div id=\"health-sc-page_1-0\" data-sc-sticky-offset=\"60\" data-sc-ad-label-height=\"24\" data-sc-ad-track-spacing=\"100\" data-sc-min-track-height=\"250\" data-sc-max-track-height=\"600\" data-sc-breakpoint=\"50em\" data-sc-load-immediate=\"4\" data-sc-content-positions=\"[400, 1400, 1400, 1700, 2000, 2200, 2400, 2600, 2800]\" data-bind-scroll-on-start=\"true\">\n<p id=\"mntl-sc-block_1-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>If you&#8217;ve ever had an ultrasound, you may have seen fluid in the cul-de-sac area. The pouch is located just behind the vagina.\n<\/p>\n<p id=\"mntl-sc-block_1-0-2\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>This article explains why fluid sometimes collects there and how your health care provider diagnoses why.\n<\/p>\n<p><span class=\"heading-toc\" id=\"toc-anatomy\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-4\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    anatomy <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-5\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>There are two small pouches on each side of the uterus. These are called dead ends. The anterior capsule is the space between the bladder and the uterus. The posterior capsule is located between the uterus and rectum. This latter cul-de-sac is named after the Scottish physician James Douglas and is also known as Douglas&#8217; Bag.\n<\/p>\n<div id=\"health-sc-block-callout--takeaway_1-0\" class=\"comp theme-takeaway health-sc-block-callout--takeaway health-sc-block-callout-base mntl-sc-block-callout mntl-block\" data-tracking-id=\"mntl-sc-block-callout\" data-tracking-container=\"true\">\n<h3 id=\"mntl-sc-block-callout-heading_1-0\" class=\"comp mntl-sc-block-callout-heading mntl-text-block\">\n<p>Do people with penises have Douglas bags?<\/h3>\n<div id=\"mntl-sc-block-callout-body_1-0\" class=\"comp expert-content takeaway mntl-sc-block-callout-body mntl-text-block\">\n<p>yes. It is known as the rectovesical pouch. It is located between the rectum and the bladder.<span class=\"ql-inline-citation\" data-cite=\"5\"\/><\/p>\n<\/div>\n<\/div>\n<figure id=\"health-sc-block-image--none_1-0\" class=\"comp mntl-sc-block-image mntl-sc-block theme-none health-sc-block-image--none health-sc-block-image-base mntl-sc-block-universal-image figure-landscape figure-high-res\"><figcaption id=\"mntl-figure-caption_1-0\" class=\"comp mntl-figure-caption figure-article-caption\">\n<span class=\"figure-article-caption-owner\"><\/p>\n<p>Very Well \/ Jessica Oler<\/p>\n<p><\/span><br \/>\n<\/figcaption><\/figure>\n<p><span class=\"heading-toc\" id=\"toc-what-are-the-causes-of-fluid-in-the-cul-de-sac\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-9\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    What causes body fluid to collect in the bag? <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-10\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Body fluids can fill the cul-de-sac for a variety of reasons. When an ovarian cyst or follicle ruptures, fluid may leak. In some cases, more serious problems may occur. Possible causes are:\n<\/p>\n<ul id=\"mntl-sc-block_1-0-12\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li>Ectopic pregnancy, a condition in which the pregnancy grows in the fallopian tubes instead of the uterus<\/li>\n<li>Endometriosis, which occurs when tissue that normally lines the uterus grows elsewhere.<\/li>\n<li>Continue <span data-tts=\"true\">bone puncture<\/span>Steps to remove liquid from pouch<\/li>\n<li>Ascites (accumulation of fluid in the abdomen)<\/li>\n<li><span data-tts=\"true\">Hydatidiform mole<\/span>also called molar pregnancy, involves the formation of a cyst from a fertilized egg.<\/li>\n<li>High doses of estrogen causing fluid to leak from blood vessels<\/li>\n<li>Ovarian torsion, a condition in which the fallopian tubes and ovaries become twisted<\/li>\n<li>Pelvic abscess or hematoma, a pocket of infected fluid or blood<\/li>\n<li>pelvic inflammatory disease<span class=\"ql-inline-citation\" data-cite=\"2\"\/><\/li>\n<li>Retrograde menstruation occurs when menstrual fluid flows backward into the pelvis.<\/li>\n<li>tubo-ovarian abscess, a pus-filled area within the ovary and fallopian tubes<\/li>\n<li>Uterine fibroids, non-cancerous growths in the uterus<\/li>\n<li>Tears or breaks in the uterine wall<\/li>\n<\/ul>\n<h3 id=\"mntl-sc-block_1-0-15\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    infertility treatment <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-16\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>If you are undergoing fertility treatment, fluid in the pouch may be a symptom of ovarian hyperstimulation syndrome (OHSS).  OHSS is a condition in which the ovaries become swollen due to high doses of fertility hormones.<span class=\"ql-inline-citation\" data-cite=\"1\"\/>\n<\/p>\n<p id=\"mntl-sc-block_1-0-18\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>If your health care provider suspects you have OHSS, he or she may recommend an ultrasound to check for body fluids. The ovaries can be measured during an ultrasound examination.\n<\/p>\n<p id=\"mntl-sc-block_1-0-20\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Liquid in the bag is usually nothing to worry about. However, in some cases, it can cause discomfort or affect fertility.\n<\/p>\n<p><span class=\"heading-toc\" id=\"toc-how-is-fluid-in-the-cul-de-sac-diagnosed\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-22\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    How is fluid in the sac vesicle diagnosed? <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-23\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Fluid in the sac is diagnosed by performing a transvaginal ultrasound.a <span data-tts=\"true\">bone puncture <\/span>may also be performed.\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-26\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    Transvaginal ultrasound examination <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-27\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>A transvaginal ultrasound can show if there is fluid behind the uterus. A wand is inserted into the vagina to take more detailed ultrasound images. If fluid is found and there is pain, further tests may be needed.\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-30\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    bone puncture <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-31\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Before transvaginal ultrasound became widely available, this procedure was used to check for fluid in this area.<span class=\"ql-inline-citation\" data-cite=\"4\"\/> Nowadays, it is mainly used to collect liquid samples for testing.\n<\/p>\n<div id=\"health-sc-block-callout--explainer_1-0\" class=\"comp theme-explainer health-sc-block-callout--explainer health-sc-block-callout-base mntl-sc-block-callout mntl-block\" data-tracking-id=\"mntl-sc-block-callout\" data-tracking-container=\"true\">\n<div id=\"mntl-sc-block-callout-body_1-0-1\" class=\"comp expert-content explainer mntl-sc-block-callout-body mntl-text-block\">\n<p>A vaginal puncture involves inserting a needle into the vaginal wall to collect a sample of body fluids. Painkillers or anesthesia are often used. The health care provider uses an instrument to hold the cervix in place so that the needle is inserted in the correct place.<\/p>\n<\/div>\n<\/div>\n<p id=\"mntl-sc-block_1-0-34\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>It is normal for there to be a small amount of liquid in the bag. However, if the sample shows signs of pus or blood, the area may need to be drained.\n<\/p>\n<p id=\"mntl-sc-block_1-0-36\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>If there is blood in the fluid, the cyst may have ruptured or split. It may also be a sign of an ectopic pregnancy. If there is pus, you may have an infection.\n<\/p>\n<p><span class=\"heading-toc\" id=\"toc-how-is-fluid-removed-from-the-cul-de-sac\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-38\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    How is fluid removed from the sac? <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-39\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Using a very thin needle inserted through the vaginal wall, fluid is removed for testing.<span class=\"ql-inline-citation\" data-cite=\"6\"\/> If the test is abnormal, a bone tap is done to remove the fluid. If there is pus in your body fluids, your health care provider may prescribe antibiotics for the infection.\n<\/p>\n<p><span class=\"heading-toc\" id=\"toc-summary\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-41\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    summary <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-42\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>On each side of the uterus are two small sacs called sacs. Liquid may collect within these pouches. It&#8217;s normal to have a small amount of fluid, but if it contains pus or blood or is causing pain, there may be a larger health problem.\n<\/p>\n<p id=\"mntl-sc-block_1-0-44\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>It may be caused by an infection, pregnancy complications, or a health condition such as endometriosis or uterine fibroids. It is also possible that the cyst, follicle, or uterus itself has ruptured. In some cases, infertility treatments can result in excess fluid.\n<\/p>\n<p id=\"mntl-sc-block_1-0-46\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Liquids can usually be detected using ultrasound. In some cases, a bone puncture, in which a sample of fluid is removed with a needle and examined, may also be necessary. Depending on the cause, fluid may need to be drained or treatment with antibiotics may be necessary.<\/p>\n<\/div>\n<div id=\"post-article_1-0\">\n<div id=\"sources_1-0\" class=\"comp sources mntl-block\">\n<div id=\"mntl-article-sources_1-0\" class=\"comp mntl-article-sources mntl-expandable-block\" data-scroll-offset=\"70\">\n<div class=\"loc expandable-content\">\n<div id=\"source-guidelines_1-0\" class=\"comp source-guidelines mntl-text-block\">\n<p>Verywell Health uses only high-quality sources, including peer-reviewed research, to support the facts in our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and reliable.<\/p><\/div>\n<div id=\"mntl-article-sources__citation-sources_1-0\" class=\"comp mntl-article-sources__citation-sources mntl-citation-sources mntl-sources\" data-tracking-container=\"true\">\n<ol class=\"mntl-sources__content\">\n<li class=\"mntl-sources__source\" id=\"citation-5\">\n<p>Hide Kondo, Hide Okada, Takashi Shimono, Tetsuya Kusaka <a href=\"https:\/\/casereports.bmj.com\/content\/2015\/bcr-2015-209584\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Pediatric splenic and rectovesical sac abscess caused by Eggerthella lenta.<\/a> <em>BMJ case rep<\/em>.  2015:bcr2015209584. doi: 10.1136\/bcr-2015-209584.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-2\">\n<p>Revzin MV, Mercer M, Dave HB, Macer ML, Spector M. <a href=\"https:\/\/doi.org\/10.1148\/rg.2016150202\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Pelvic inflammatory disease: a multidisciplinary imaging approach with clinicopathological correlation<\/a>. <em>Radiography<\/em>.  2016;36(5):1579-96. doi:10.1148\/rg.2016150202<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-1\">\n<p>Kim MK, Won HJ, Shim SH, Cha DH, Yoon TK. <a href=\"https:\/\/ecerm.org\/journal\/view.php?doi=10.5653\/cerm.2014.41.3.140\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Spontaneous ovarian hyperstimulation syndrome after thawed embryo transfer cycle. <\/a><em>Clin Exp Reprod Med<\/em>.  2014;41(3):140-145. doi:10.5653\/cerm.2014.41.3.140.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-4\">\n<p>UCSF Health. <a href=\"https:\/\/www.ucsfhealth.org\/medical-tests\/003919\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" rel=\"nofollow noopener\" target=\"_blank\">bone puncture<\/a>.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-6\">\n<p>Mount Sinai. <a href=\"https:\/\/www.mountsinai.org\/health-library\/tests\/culdocentesis\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">bone puncture<\/a>.<\/p>\n<\/li>\n<\/ol>\n<\/div>\n<p><span id=\"mntl-article-sources__subheading_1-0\" class=\"comp mntl-article-sources__subheading mntl-text-block\"><\/p>\n<p>Additional Resources<\/span><\/p>\n<div id=\"mntl-article-sources__additional-reading_1-0\" class=\"comp mntl-article-sources__additional-reading mntl-additional-reading mntl-sources\" data-tracking-container=\"true\">\n<ul class=\"mntl-sources__content\">\n<li class=\"mntl-sources__source\">\n<p>Grossman YS, Benacerraf BR. <a href=\"https:\/\/doi.org\/10.1016\/j.fertnstert.2016.03.026\" class=\"pseudoStyle\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Completely evaluate the anatomy and morphology of infertile patients in one visit.Modern infertility pelvic ultrasound examination<\/a>. <em>fertilizer sterility<\/em>.  2016;105(6):1381-93. doi: 10.1016\/j.fertnstert.2016.03.026.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\">\n<p>Medline Plus. <a href=\"https:\/\/medlineplus.gov\/ency\/article\/003919.htm\" class=\"pseudoStyle\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">bone puncture<\/a>.<\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"author-bio_1-0\" class=\"comp bio--expanded author-bio\">\n<p class=\"author-bio__bio-text\">\n<span class=\"author-bio__bio-title\">Nicole Galan, RN<\/span><br \/>\n<br \/>Nicole Gallant, RN is a registered nurse and author of The Everything Fertility Book.\n<\/p>\n<\/div>\n<div id=\"trust-ribbon_1-0\" class=\"comp trust-ribbon trust-ribbon-expandable-block\">\n<div class=\"loc expandable-content\">\n<div id=\"trust-ribbon__feedback-block_1-0\" class=\"comp trust-ribbon__feedback-block article-feedback mntl-article-feedback\">\n<div class=\"article-feedback__success-section js-success-section is-hidden\">\n<p>Thank you for your feedback!<\/p>\n<\/div>\n<div class=\"article-feedback__feedback-section js-feedback-section is-hidden\">\n<p>What is your feedback?<\/p>\n<p><button id=\"article-feedback__open-form-button_1-0\" class=\"comp article-feedback__feedback-button article-feedback__open-form-button mntl-button\"><\/p>\n<p>other<br \/>\n<\/button><br \/>\n<button id=\"helpful-button_1-0\" class=\"comp article-feedback__feedback-button helpful-button mntl-button\"><\/p>\n<p>useful<br \/>\n<\/button><br \/>\n<button id=\"report-error-button_1-0\" class=\"comp article-feedback__feedback-button report-error-button mntl-button\"><\/p>\n<p>Report an error<br \/>\n<\/button><br \/>\n<svg class=\"icon icon-x close-button\">\n<use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#icon-x\"\/>\n<\/svg><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>If you&#8217;ve ever had an ultrasound, you may have seen fluid in the cul-de-sac area. The pouch is located just behind the vagina. This article explains why fluid sometimes collects there and how your health care provider diagnoses why. anatomy There are two small pouches on each side of the uterus. These are called dead &#8230; <a title=\"Fluid in the anterior or posterior capsule\" class=\"read-more\" href=\"https:\/\/drhimanshuyadav.com\/blog\/fluid-in-the-anterior-or-posterior-capsule\/\" aria-label=\"Read more about Fluid in the anterior or posterior capsule\">Read more<\/a><\/p>\n","protected":false},"author":2,"featured_media":3504,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[146],"tags":[1927,2365,2016,2366],"class_list":["post-3503","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anorectal-anatomy-and-physiology","tag-anterior","tag-capsule","tag-fluid","tag-posterior"],"_links":{"self":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts\/3503","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/comments?post=3503"}],"version-history":[{"count":0,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts\/3503\/revisions"}],"wp:attachment":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/media?parent=3503"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/categories?post=3503"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/tags?post=3503"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}