Small bowel incarceration associated with posthysterectomy enterocele.
Enterocele represents a pelvic floor hernia with the sac most commonly protruding between the rectum and vagina. It may occur with or without prior hysterectomy and is very rarely complicated by small bowel obstruction. We report herein the case of a 70-year-old woman with a posthysterectomy enterocele presented with symptoms of small bowel obstruction and abdominal tenderness. The patient underwent exploratory laparotomy, which revealed small bowel incarceration. To our knowledge, this case represents the first published case of vaginal vault prolapse and enterocele associated with small bowel obstruction and incarceration. The pathogenesis, diagnosis, and treatment are discussed.
2nd Propedeutical Department of Surgery, Hippokration General Hospital, Medical School, Aristotles University of Thessaloniki, Thessaloniki, Greece. svrafail@otenet.gr
Savas
S
Rafailidis
Konstantinos
K
Ballas
Konstantinos
K
Dinas
D000368:Aged; D005260:Female; D006547:Hernia / Q000209:etiology*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007415:Intestinal Obstruction / Q000209:etiology*; D017773:Pelvic Floor