A 60-year-old woman has a hernia of the pouch of Douglas containing small bowel, protruding into the rectovaginal space. This is best described as:
- A Cystocele
- B Enterocele ✓
- C Rectocele
- D Vault prolapse
Correct answer: B. Enterocele
Explanation
An enterocele is a herniation of the pouch of Douglas (peritoneum) containing small bowel into the rectovaginal space, presenting as a posterior vaginal wall bulge. It is distinguished from rectocele (rectal herniation into the vagina) by digital rectal examination where small bowel can be felt in the rectovaginal septum. Enterocele often coexists with vault prolapse after hysterectomy.
Reference: Bailey and Love's Short Practice of Surgery, 28th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.