Chapter 84 Enterocele
INTRODUCTION
Description: Enterocele is loss of support for the apex of the vagina, through rupture or attenuation of the pubovesicocervical fascia, manifested by descent or prolapse of the vaginal wall and underlying peritoneum, most commonly after abdominal or vaginal hysterectomy. An enterocele may occur when the uterus is present and tissue damage or weakness allows herniation behind the cervix and between the uterosacral ligaments.
ETIOLOGY AND PATHOGENESIS
Causes: Loss or rupture of the normal support mechanisms in the pouch of Douglas. There is true herniation of the peritoneal cavity between the uterosacral ligaments and into the rectovaginal septum. Unlike a cystocele, urethrocele, or rectocele, the herniated tissue contains a true sac lined by parietal peritoneum.
