columna en douglas de 100mm

English translation: 100 mm (column pressure) of water in Douglas pouch

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
Spanish term or phrase:columna en douglas de 100mm
English translation:100 mm (column pressure) of water in Douglas pouch
Entered by: Neil Ashby

08:26 Oct 4, 2013
Spanish to English translations [PRO]
Medical - Medical (general)
Spanish term or phrase: columna en douglas de 100mm
Hello.
I don't know what to make of this phrase that appears in a gynaecology report about a patient who has ascites. I guess the "Douglas" part refers to the pouch of Douglas but I don't know where the "columna" comes in or the 100mm. This is described as part of the results of a transvaginal ultrasound showing abundant free liquid.
Here is exactly how it appears in the text:
"EcoTV: utero ausente. Se observa abundante liquid ascitico (columna en douglas de 100mm). En FID se observa una masa compleja, vascularizada, con zonas densas y quisticas..."
I would really appreciate any suggestions or ideas.
Thanks in advance :)
Aoife Ní Chinnéide
Local time: 09:38
100 mm (column pressure) of water in Douglas pouch
Explanation:
Basing the idea of the below....but I'm not sure how a medic would word it to incorporate the Douglas part. But it's ****definitely a water mamometer**** there are lots of reference to measuring "ascitic pressure", "osmotic kidney pressure" and "inter-abdominal pressure" with a water mamometer so that's where the column and "mm" come into. ;@)



http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1493732/


Manipulation of ****ascitic fluid pressure*** in cirrhotics to optimize hemodynamic and renal function.
J A Savino, T Cerabona, N Agarwal, and D Byrne

Author information ► Copyright and License information ►
See "Discussion" on page 509.
This article has been cited by other articles in PMC.
Abstract

Intra-abdominal pressure (IAP), measured via a transurethral catheter, hemodynamic, and renal functions were evaluated in 25 cirrhotic patients admitted to ICU with variceal bleeding, tense ascites, and peripheral edema. In patients with an IAP greater than 25 cm H2O, a paracentesis was performed to decrease the IAP by 10 cm H2O.


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Note added at 1 hr (2013-10-04 10:23:50 GMT)
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Articles
OSMOTIC PRESSURE MEASUREMENTS OF SERUM AND ASCITIC FLUID IN PATIENTS WITH CIRRHOSIS OF THE LIVER
http://www.jci.org/articles/view/102894

It can be measured in mm (Hg) (as I first suggested in the discussion) but it would appear that the values mentioned in your text are for H2O, see the ref. below for an example of Hg:

"The variation in hydrostatic hepatic vein pressures, pressure differences and ***ascitic fluid pressures*** (when measured at different locations within the liver and peritoneal space during a single examination) was ****1.5, 1.0 and 1.0 mmHg*** (SD), respectively.
Read More: http://informahealthcare.com/doi/abs/10.3109/003655180090919...
Selected response from:

Neil Ashby
Spain
Local time: 10:38
Grading comment
Many thanks to everyone. This makes sense :0
4 KudoZ points were awarded for this answer



Summary of answers provided
2 +2100 mm (column pressure) of water in Douglas pouch
Neil Ashby
4100 mL fluid collection in pouch of Douglas
liz askew
3ultrasound transducer of 100 mm in Pouch of Douglas
Sara Ruiz


Discussion entries: 6





  

Answers


34 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5
ultrasound transducer of 100 mm in Pouch of Douglas


Explanation:
I guess that the word columna refers to the device, not to the vertebral column

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Note added at 37 mins (2013-10-04 09:04:15 GMT)
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Or maybe according to the suggerence given by Neil, is the size of the pouch.

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Note added at 38 mins (2013-10-04 09:04:54 GMT)
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sorry, suggestion



    Reference: http://en.wikipedia.org/wiki/Recto-uterine_pouch
Sara Ruiz
Spain
Local time: 10:38
Native speaker of: Native in SpanishSpanish
PRO pts in category: 8

Peer comments on this answer (and responses from the answerer)
neutral  Neil Ashby: Please don't misquote me - I never suggested that "100 mm" has anything to do with the size of the pouch! Not sure where the "ultrasound transducer" is derived from? That's just the machine for taking the images.
1 hr
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1 hr   confidence: Answerer confidence 2/5Answerer confidence 2/5 peer agreement (net): +2
100 mm (column pressure) of water in Douglas pouch


Explanation:
Basing the idea of the below....but I'm not sure how a medic would word it to incorporate the Douglas part. But it's ****definitely a water mamometer**** there are lots of reference to measuring "ascitic pressure", "osmotic kidney pressure" and "inter-abdominal pressure" with a water mamometer so that's where the column and "mm" come into. ;@)



http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1493732/


Manipulation of ****ascitic fluid pressure*** in cirrhotics to optimize hemodynamic and renal function.
J A Savino, T Cerabona, N Agarwal, and D Byrne

Author information ► Copyright and License information ►
See "Discussion" on page 509.
This article has been cited by other articles in PMC.
Abstract

Intra-abdominal pressure (IAP), measured via a transurethral catheter, hemodynamic, and renal functions were evaluated in 25 cirrhotic patients admitted to ICU with variceal bleeding, tense ascites, and peripheral edema. In patients with an IAP greater than 25 cm H2O, a paracentesis was performed to decrease the IAP by 10 cm H2O.


--------------------------------------------------
Note added at 1 hr (2013-10-04 10:23:50 GMT)
--------------------------------------------------

Articles
OSMOTIC PRESSURE MEASUREMENTS OF SERUM AND ASCITIC FLUID IN PATIENTS WITH CIRRHOSIS OF THE LIVER
http://www.jci.org/articles/view/102894

It can be measured in mm (Hg) (as I first suggested in the discussion) but it would appear that the values mentioned in your text are for H2O, see the ref. below for an example of Hg:

"The variation in hydrostatic hepatic vein pressures, pressure differences and ***ascitic fluid pressures*** (when measured at different locations within the liver and peritoneal space during a single examination) was ****1.5, 1.0 and 1.0 mmHg*** (SD), respectively.
Read More: http://informahealthcare.com/doi/abs/10.3109/003655180090919...

Neil Ashby
Spain
Local time: 10:38
Specializes in field
Native speaker of: English
PRO pts in category: 354
Grading comment
Many thanks to everyone. This makes sense :0

Peer comments on this answer (and responses from the answerer)
agree  Anne Schulz: Height of the ascites level is also used as an estimate of the amount of fluid (not necessarily implying any information about pressures). 100mm would be a lot of ascites, though!
3 hrs
  -> Thanks Anne, but my intention was nothing to do with height of the ascite level (just coincidence). As I mentioned, I know little of medicine/anatomy but when I see 'column' and 'mm' I think of a mamometer for measuring pressure. ;@)

agree  Gerry Vickers
3248 days
  -> Thanks Gerry.
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2 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5
100 mL fluid collection in pouch of Douglas


Explanation:
Mucormycosis of Pouch of Douglas in a Diabetic Woman
www.ncbi.nlm.nih.gov › ... › J Glob Infect Dis › v.4(3); Jul-Sep 2012
by PK Mondal - ‎2012 - ‎Related articles
The patient had collection of fluid in the Pouch of Douglas (POD) and history of ... (POD) Ultrasonography (USG) showed fluid collection (30 ml) in the POD, and ... mucormycosis has the worst prognosis and mortality rate approaches 100%.
Mysterious Pregnancy: A Diagnostic Dilemma - Internet Scientific ...
ispub.com/IJGO/5/1/5079‎
... sac with slight increase in adnexal mass with 100ml of free fluid in pouch of Douglas. ... normal looking, left ovary had a cyst of 8x8 cms septate with clear fluid.

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Note added at 2 hrs (2013-10-04 10:46:37 GMT)
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normal uterus ultrasound how to
www.ultrasoundpaedia.com/normal-uterus/
Transvaginal Technique for Anteverted Uterus:Anteverted uterus: Align the probe .... Look for free fluid in the pouch of douglas; Check the ovaries and adnexae ...

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Note added at 2 hrs (2013-10-04 10:47:07 GMT)
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books.google.co.uk/books?isbn=0521191688
J. Christian Fox - 2011 - ‎Medical
Free fluid: Transvaginal sonogram. Sagittal view. Free fluid (ff) in cul-de-sac. ... Free fluid (ff) in pelvic cul-de-sac (pouch of Douglas). Free fluid: Transabdominal ...

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Note added at 2 hrs (2013-10-04 10:47:51 GMT)
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www.ncbi.nlm.nih.gov/pubmed/11952975
by S Khan - ‎2002 - ‎Cited by 11 - ‎Related articles
A transvaginal ultrasound scan revealed a poorly defined echogenic mass in the right iliac fossa above the right ovary and free fluid of mixed echogenicity in the pouch of Douglas. Laparoscopic appendicectomy and aspiration of mucinous ...

liz askew
United Kingdom
Local time: 09:38
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 4558
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