It's dark and wet and they can't see where they're going. They're like baby kangaroos, blind and pink-skinned, groping their way towards the teats inside the pouch. Only this journey is in reverse. They must burrow upwards, as if towards the light, but there is no light, only another soft place to grow. They slip between organs, like a finger. They make room for themselves. Ginge moves stealthily through grass, his belly close to the ground. He gives his hindquarters a tiny shake, springs through the air, brings down his prey.
He closes his jaw around the neck, drags his prize home. Ginge stands at the back door, offering up his rabbit.
Thank you very much. But you have it, Ginge. The flesh is soft and bloody. Provenance: Commissioned; not externally peer reviewed. Publication of your online response is subject to the Medical Journal of Australia 's editorial discretion.
You will be notified by email within five working days should your response be accepted. Basic Search Advanced search search. Use the Advanced search for more specific terms. Title contains. Body contains. Date range from. Date range to. Article type. Author's surname. First page. Issues by year. Article types. Research letters. Guidelines and statements. Narrative reviews. Ethics and law. Medical education. Volume Issue Med J Aust ; 11 : On the other hand, the absence of fluid in the pouch of Douglas may also have clinical significance.
For example, in a patient with endometriosis, an obliterated cul-de-sac secondary to agglutination of the peritoneal surfaces from scarring caused by infiltrating endometriosis will prevent fluid from pooling here. The pouch of Douglas should always be evaluated at the time of a transvaginal ultrasound, as the findings are often helpful in supporting a pelvic pain diagnosis.
Because fluid from the pouch of Douglas protects the body from contamination, checking it on transvaginal ultrasound is vital. Why make her wait for a diagnosis? Use ultrasound to detect adenomyosis. The information on this web page is intended for healthcare professionals only. Follow GE Healthcare for the latest updates. Stay informed. Lisbet Hanson March 25, Transvaginal ultrasound image of small amount of fluid in cul-de-sac arrow What Is the Pouch of Douglas?
What to Look for in the Pouch of Douglas Studies published in in Radiology and in in the Journal of Ultrasound in Medicine demonstrated that echogenic masses and cul-de-sac fluid on transvaginal ultrasound are highly predictive of the finding of clotted blood and hemoperitoneum. Increased amount of fluid in pelvis The ultrasound definition of ascites has been described as fluid filling the pouch of Douglas and extending beyond the fundus of the uterus.
Fluid arrow and ovary in cul-de-sac. This space is used in end-stage renal failure dialysis where the tip of the catheter is placed. Word origin: named after the Scottish anatomist Dr James Douglas who extensively explored this region of the female body. Life, as we know it today, is presumed to have started in the sea and many of them were likely eukaryotic animal-like or.. A balanced diet is essential to a healthy organism. Insufficiency or too much of a particular element or compound, such..
This tutorial elaborates on the effect of light on plant growth.
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