Medical Encyclopedia

 

Medical Encyclopedia

Other encyclopedia topics:  A-Ag  Ah-Ap  Aq-Az  B-Bk  Bl-Bz  C-Cg  Ch-Co  Cp-Cz  D-Di  Dj-Dz  E-Ep  Eq-Ez  F  G  H-Hf  Hg-Hz  I-In  Io-Iz  J  K  L-Ln  Lo-Lz  M-Mf  Mg-Mz  N  O  P-Pl  Pm-Pz  Q  R  S-Sh  Si-Sp  Sq-Sz  T-Tn  To-Tz  U  V  W  X  Y  Z  0-9 

Culdocentesis

Contents of this page:

Illustrations

Female reproductive anatomy
Female reproductive anatomy
Culdocentesis
Culdocentesis
Cervix needle sample
Cervix needle sample

Definition    Return to top

Culdocentesis is a procedure that checks for abnormal fluid in the space just behind the vagina (cul-de-sac).

How the Test is Performed    Return to top

First, you will have a pelvic examination. Then, the health care provider will grasp the cervix with an instrument and lift it slightly.

A long, thin needle is inserted through the wall of the vagina (just below the uterus). A sample is taken of any fluid found in the space. The needle is pulled out.

How to Prepare for the Test    Return to top

You may be asked to walk or sit for a short time before the test is done.

How the Test Will Feel    Return to top

You may have an uncomfortable, cramping feeling when the cervix is grasped. There is a sharp, brief pain as the needle is inserted.

Why the Test is Performed    Return to top

This procedure is done when you have pain in the lower abdomen and pelvis, and other tests suggest there is fluid in the cul-de-sac. This test may also be done when the doctor suspects a ruptured ectopic pregnancy or ovarian cyst.

The test is rarely done today because an ultrasound can usually detect fluid in the cul-de-sac.

Normal Results    Return to top

No fluid in the cul-de-sac, or a very small amount of clear fluid, is normal.

What Abnormal Results Mean    Return to top

Even when no fluid is found, it may be present, and you may need other tests. If fluid is drawn, it is cultured to see if you have an infection. If nonclotting blood is found in the cul-de-sac, you may need emergency surgery.

Risks    Return to top

There is a slight risk of puncturing any growth, cyst, or ectopic pregnancy that exists. The needle should not be inserted too far or hard enough to go through the uterine wall.

Considerations    Return to top

You may need someone to take you home if you were given a sedative.

Update Date: 2/19/2008

Updated by: Peter Chen, MD, Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M. Logo

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2009, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.