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</div><div><span>Culdocentesis</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Culdocentesis</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Culdocentesis is a procedure that checks for abnormal fluid in the space just behind the <a test="test" href="./002342.htm">vagina</a>. This area is called the cul-de-sac.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>First, you will have a pelvic exam. Then, the health care provider will hold the <a test="test" href="./002317.htm">cervix</a> with an instrument and lift it slightly.</p><p>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.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How to Prepare for the Test</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>You may be asked to walk or sit for a short time before the test is done.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test will Feel</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>You may have an uncomfortable, cramping feeling. You will feel a brief, sharp pain as the needle is inserted.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>This procedure is rarely done today because a transvaginal ultrasound can show fluid behind the uterus. </p><p>It may be done when:</p><ul><li>You have pain in the lower abdomen and pelvis, and other tests suggest there is fluid in the area.</li><li>You may have a ruptured <a test="test" href="./000895.htm">ectopic pregnancy</a> or <a test="test" href="./001504.htm">ovarian cyst</a>. </li><li>You have suffered blunt abdominal trauma.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Normal Results</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>No fluid in the cul-de-sac, or a very small amount of clear fluid, is normal.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What Abnormal Results Mean</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Fluid may still be present, even if not seen with this test. You may need other tests. </p><p>A sample of fluid may be taken and tested for infection. </p><p>If blood is found in the fluid sample, you may need emergency surgery. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Risks</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Risks include puncturing the uterine or bowel wall.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Considerations</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>You may need someone to take you home if you were given medicines to relax.</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1112t.jpg" alt="Female reproductive anatomy" title="Female reproductive anatomy" class="side-img"/><a href="../imagepages/1112.htm">Female reproductive anatomy</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/17045t.jpg" alt="Culdocentesis" title="Culdocentesis" class="side-img"/><a href="../imagepages/17045.htm">Culdocentesis</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/9634t.jpg" alt="Cervix needle sample" title="Cervix needle sample" class="side-img"/><a href="../imagepages/9634.htm">Cervix needle sample</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Braen GR, Kiel J. Gynecologic procedures. In: Roberts JR, Custalow CB, Thomsen TW, eds. <em>Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care</em>. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 57.</p><p>Eisinger SH. Culdocentesis. In: Fowler GC, ed. <em>Pfenninger and Fowler's Procedures for Primary Care</em>. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 161.</p><p>Hur HC, Lobo RA. Ectopic pregnancy: etiology, pathology, diagnosis, management, fertility prognosis. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. <em>Comprehensive Gynecology</em>. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 17.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 3/31/2024</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: LaQuita Martinez, MD, Department of Obstetrics and Gynecology, Emory Johns Creek Hospital, Alpharetta, GA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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</div></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Related MedlinePlus Health Topics</h2></div><div class="section-button"><button type="submit" aria-controls="section-mtp" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div name="Related MedlinePlus Health Topics" class="section-body" id="section-mtp"><ul class="side-nav"><li><a href="https://medlineplus.gov/ovariancysts.html">Ovarian Cysts</a></li>
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<li><a href="https://medlineplus.gov/pelvicpain.html">Pelvic Pain</a></li>
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