• Skip to main content
Search
  • Home
  • Services
      • Behavioral Health
      • Bloodless Medicine
      • Brain & Spine
      • Cancer Care
      • Ear, Nose and Throat
      • Emergency Care
      • Senior Health
      • Heart & Vascular Care
      • Home Health Care
      • Immediate Care
      • Medical Imaging
      • Minimally Invasive Surgery
      • Orthopedics
      • Pregnancy & Childbirth
      • Primary Care
      • Rehabilitation Services
      • Weight Loss Surgery
      • Wound Healing & Care
      • Women's Health
  • Doctors
      • Find a Primary Care Doctor
      • Find a Doctor
      • Physician Referral
      • Practices:

        Baptist Primary Care
      • Baptist AgeWell
      • Baptist Behavioral Health
      • Baptist Endocrinology
      • Baptist ENT Specialists
      • Baptist Heart Specialists
      • Baptist Infectious Diseases
      • Baptist MD Anderson Cancer Physicians
      • Baptist Neurology
      • Baptist Pediatrics
      • Baptist Pulmonary Specialists (Nassau)
      • Baptist Rheumatology
      • Baptist Urology Group (Nassau)
      • Jacksonville Orthopaedic Institute
      • Lyerly Neurosurgery
  • Locations
    • Our Hospitals:

      • Baptist Medical Center Jacksonville
      • Baptist Medical Center South
      • Baptist Medical Center Beaches
      • Baptist Medical Center Nassau
      • Baptist Heart Hospital
      • Wolfson Children's Hospital

      Emergency Rooms (ER):

      • All ER Locations

      Imaging:

      • By Location

      • Imaging Center Locations
      • By Service

      • MRI
      • Bone Density
      • Screening Mammography
      • Diagnostic Mammography
      • Ultrasound
      • Vascular Ultrasound
      • CT Scan
      • PET Scan
      • Nuclear Medicine
      • X-Ray

      Urgent Care Locations:

      • Baptist Health Clinics at Walgreens
      • CareSpot Urgent Care

      Outpatient Locations:

      • AgeWell Center for Senior Health
      • Baptist Clay Medical Campus
      • Baptist MD Anderson Cancer Center
      • Baptist Neurodiagnostic Center
      • Baptist North Medical Campus
      • Heart and Vascular Testing Centers
      • Hill Breast Center
      • Infusion Center
      • Pharmacy
      • Rehabilitation Centers
      • Robotic Spine Surgery
      • Sleep Centers
      • Stroke and Cerebrovascular Center
      • Surgery Centers
      • Wound Care

      Health & Wellness:

      • 4her Wellness Resources for Women
      • JCA Wellness Connexion
      • Y Healthy Living Centers
  • Patient Info
      • Billing & Insurance Information
      • Insurance Plans Accepted
      • Cost Estimate Request
      • Financial Assistance Program
      • My Baptist Connect (Patient Portal)
      • Medical Records
      • Classes and Events
      • Clinical Trials
      • Tell Us What You Think
  • Health Library
      • Diseases and Conditions
      • Symptoms
      • Tests
      • Surgeries and Procedures
      • Injuries
      • Nutrition
      • Poison
      • Drug Information
      • Drug Images
      • Health News
      • Video Library
  • About Us
      • Administration
      • Awards & Honors
      • Careers
      • Provider Opportunities
      • Baptist MD Anderson Provider Opportunities
      • Spiritual Care
      • Social Responsibility
      • Community Health Needs Assessment (CHNA)
      • Corporate Wellness (PATH)
      • Volunteering
      • Newsroom
  • Juice
      • Health News Overview:

      • Aging Well
      • Brain, Spine & Nerve
      • Cancer
      • Child Health
      • Community Health
      • Diabetes
      • Ear, Nose & Throat
      • Heart & Vascular
      • Lungs, Breathing & Sleep
      • Mental Health
      • Orthopedics, Bones & Muscles
      • Pregnancy & Childbirth
      • Primary Care
      • Wellness
      • Women's Health
      • Men's Health
  1. Home
  2. Health Library
  3. Tests
  4. Culdocentesis

Culdocentesis

Tests

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

First, you will have a pelvic exam. Then, the health care provider will hold 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.

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

How the Test will Feel

You may have an uncomfortable, cramping feeling. You will feel a brief, sharp pain as the needle is inserted.

Why the Test is Performed

This procedure is rarely done today because a transvaginal ultrasound can show fluid behind the uterus.

It may be done when:

  • You have pain in the lower abdomen and pelvis, and other tests suggest there is fluid in the area.
  • You may have a ruptured ectopic pregnancy or ovarian cyst.

Normal Results

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

What Abnormal Results Mean

Fluid may still be present, even if not seen with this test. You may need other tests.

A sample of fluid may be taken and tested for infection.

If blood is found in the fluid sample, you may need emergency surgery.

Risks

Risks include puncturing the uterine or bowel wall.

Considerations

You may need someone to take you home if you were given medicines to relax.

References

Kho RM, Lobo RA. Ectopic pregnancy: etiology, pathology, diagnosis, management, fertility prognosis. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 17.

Braen GR, Kiel J. Gynecologic procedures. In: Roberts JR, Custalow CB, Thomsen, TW, eds. Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 57.

BACK TO TOP

Review Date: 1/14/2018

Reviewed By: John D. Jacobson, MD, Professor of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda Center for Fertility, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

 
 
 

 

 

A.D.A.M. content is best viewed in IE9 or above, Fire Fox and Google Chrome browser.
Content is best viewed in IE9 or above, Fire Fox and Google Chrome browser.

Tests for Culdocentesis

  • Culdocentesis

Related Information

  • Vagina

  • Ectopic pregnancy

  • Ovarian cysts

© Copyright 2019 | All Rights Reserved

If you speak another language, assistance services
free of charge, are available to you.

Baptist Health Facebook Baptist Health Twitter Baptist Health on LinkedIn Baptist Health on Instagram Baptist Health on Youtube
Physician Login | Application Login | Employee Login
Quality Measures | Privacy | Non-Discrimination | Comments | Site Map