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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "free Fungus In Douglas's Pouch" Suggest From Ultrasound?

I was diagnosed with Stage 1 breast cancer in March, 2010. I had a mastectomy and finished four rounds of cmf chemo in September, 2010, A pelvic ultrasound shws I have a trabeculated cyst in the left ovary measuring 32x30x20 mm (volue = 10.2 cm). No vascularization was identified in the septum. The only other comment is "free fundus of Douglas's pouch." What do these things mean? I'm very frightened. Thanks for your help.
Tue, 28 Jul 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The pouch of Douglas is a space behind the uterus in females. It is a place where fluid gets collected. Free fluid in pouch of douglas suggests that there is some fluid in the abdominal cavity which is occupying the space behind the uterus at the time of scan.

This fluid is in small quantity then is not a concern. If there is significant fluid then it might be due to any pelvic inflammatory disease or as a part of the fluid collected in the abdominal cavity. The Left ovary is slightly enlarged and is not a serious concern. Please do not worry.
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What Does "free Fungus In Douglas's Pouch" Suggest From Ultrasound?

Hi, Thanks for writing in. The pouch of Douglas is a space behind the uterus in females. It is a place where fluid gets collected. Free fluid in pouch of douglas suggests that there is some fluid in the abdominal cavity which is occupying the space behind the uterus at the time of scan. This fluid is in small quantity then is not a concern. If there is significant fluid then it might be due to any pelvic inflammatory disease or as a part of the fluid collected in the abdominal cavity. The Left ovary is slightly enlarged and is not a serious concern. Please do not worry.