Sigmoidocele
| Sigmoidocele | |
|---|---|
| Specialty | Gastroenterology |
Sigmoidocele (also known as
pouch of Douglas descent) refers to a condition where the sigmoid colon descends (prolapses) into the lower pelvic cavity. [1] This can obstruct the rectum and cause symptoms of obstructed defecation.[2]
Pathophysiology
The phenomenon is caused by a weak section of fascial supports of the vagina (the uterosacral cardinal ligament complex and rectal vaginal septum), which allows a section of peritoneum containing the sigmoid colon to prolapse out of normal position and fall between the rectum and the vagina.[3]
Diagnosis
It is not possible to differentiate between a
Defecating proctography will demonstrate a sigmoidocele during straining.[citation needed
]
Epidemiology
Sigmoidocele normally occurs in females, and is uncommon. [1]
References
- ^ ISBN 978-1-84882-755-4.)
{{cite book}}:|first=has generic name (help)CS1 maint: multiple names: authors list (link - ^ "Cystoceles, Urethroceles, Enteroceles, and Rectoceles - Gynecology and Obstetrics - Merck Manuals Professional Edition". Merck Manuals Professional Edition. Retrieved 2017-12-28.
- ISBN 978-0-387-24846-2.)
{{cite book}}:|first=has generic name (help)CS1 maint: multiple names: authors list (link