enterocele
Pronunciation: EN-ter-oh-seel
Herniation of small bowel into the vagina through a defect in the posterior vaginal wall.
Full Definition
A type of pelvic organ prolapse characterized by the protrusion of small intestine (usually small bowel) through a weakness in the posterior vaginal wall, specifically through the pouch of Douglas. Enteroceles most commonly occur after hysterectomy when the vaginal cuff is not adequately supported, allowing the small bowel to herniate into the vaginal canal. Patients may experience a bulge sensation, pelvic pressure, or difficulty with bowel movements. The condition is diagnosed through physical examination and may be confirmed with imaging studies such as defecography or dynamic MRI.
Usage
Usage note: Distinguish from other types of pelvic organ prolapse; may require surgical repair with enterocele repair.
In Context
- "Physical examination revealed a small enterocele at the vaginal apex with Valsalva maneuver." — Clinical examination note
- "MRI defecography confirmed the presence of an enterocele containing small bowel loops." — Radiology report