Image - (2017) Volume 1, Issue 4
Edgar Vargas-Flores1*, and Diana Isabel Perez-Galeana2
1Department of General Surgery, Hospital General de Zona 5, IMSS, Nogales, Sonora, Mexico
2Department of General Surgery, Hospital de Especialidades, Centro Médico Nacional La Raza, Mexico City, Mexico
Received date: Dec 12, 2017; Accepted date: Dec 14, 2017; Published date: Dec 16, 2017
Citation: Vargas-Flores E, Perez-Galeana DI (2017) Extraperitoneal Transvaginal Enterocele. J Clin Gastroenterol Hepatol Vol.1 No.4: i28. doi: 10.21767/2575-7733.10000i28
Enterocele is a condition occurring in women only and is defined as a hernia of the Pouch of Douglas. It usually contains small bowel, omentum or both. Although a posterior enterocele is by far the most frequently seen, lateral and anterior enteroceles also have been described .
Enterocele is a condition occurring in women only and is defined as a hernia of the Pouch of Douglas. It usually contains small bowel, omentum or both. Although a posterior enterocele is by far the most frequently seen, lateral and anterior enteroceles also have been described [1]. In this case we present a 71-year-old woman admitted to our general surgery service complaining of having a bulge in her genitalia (Figure 1). Past medical history was relevant for a surgical intervention of an abdominal hysterectomy 2 days ago. On physical examination, small bowel loops were protruding through the vagina. Urgent surgical intervention was performed finding a 5-cm gap at the vaginal vault which was closed with non-absorbable suture (with the small bowel previously reintroduced into the abdominal cavity). There was no need for small bowel resection. The patient had an uneventful recovery.
Figure 1: Enterocele.
