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Extraperitoneal Transvaginal Enterocele

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

*Corresponding Author:
Edgar Vargas-Flores
Department of General Surgery
Hospital General de Zona 5
IMSS, Nogales, Sonora
Mexico
Tel: +(631) 313-59-85
E-mail: [email protected]

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

 
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Abstract

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 .

Clinical Image

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.

clinical-gastroenterology-hepatology-Enterocele

Figure 1: Enterocele.

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