Women with enterocele often have concomitant vaginal support defects. Symptoms are often complex and cannot be attributed solely to the enterocele. Nonetheless, women with large enteroceles often complain of pelvic pressure, fullness, vaginal protrusion, and low backache. Additionally, women may experience irritation, spotting, and ulceration from exposure of the vaginal epithelium overlying the exposed enterocele. With severe enterocele, evisceration of bowel through the vagina has been described.5 Rare cases of small bowel incarceration in enterocele sacs have also been reported.2 The effects of severe enterocele on bowel function are poorly understood.

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