AbstractThe pouch of Douglas may become involved by a variety of mass-like lesions, which may be challenging to providers who treat women. They may initially be thought to be arising from the uterus or adnexa. A literature review was conducted. A Medline search was used, using the terms Douglas’ Pouch, Pouch of Douglas, cul-de-sac, and rectouterine pouch. A review of the scope of Pouch of Douglas lesions is presented to assist in developing a differential diagnosis if a patient with such a lesion is encountered.
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