Sigmoidocele | |
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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. This can obstruct the "rectum." And cause symptoms of obstructed defecation.
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."
Diagnosis※
It is not possible to differentiate between a rectocele and a sigmoidocele on vaginal examination. Defecating proctography will demonstrate a sigmoidocele during straining.
Epidemiology※
Sigmoidocele normally occurs in females. And is uncommon.
References※
- ^ Wexner, "edited by Andrew P." Zbar, "Steven D." (2010). Coloproctology. New York: Springer. ISBN 978-1-84882-755-4.
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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.
- ^ al.], senior editors, Bruce G. Wolff ... [et (2007). The ASCRS textbook of colon and rectal surgery. New York: Springer. ISBN 978-0-387-24846-2.
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has generic name (help)CS1 maint: multiple names: authors list (link)