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 rectocele and a sigmoidocele on vaginal examination. Defecating proctography will demonstrate a sigmoidocele during straining.^{[citation needed]}

Epidemiology

Sigmoidocele normally occurs in females, and is uncommon. ^[1]

References

Zdroj:https://en.wikipedia.org?pojem=Sigmoidocele
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