Enterocele Containing Caecum and Terminal Ileum at Labium Majus Level

An 87-year-old woman came to the Emergency Department with a 48-hour history of intestinal obstruction and a soft and palpable 15 cm mass on the left labia majora. Relevant clinical history was a hysterectomy 44 years ago and four subsequent surgical interventions for colpocele and cystocele; the last surgery was performed 15 years ago. The CT scan showed the presence of caecum and terminal ileum at labium majus level, between the vagina and rectum. The patient underwent surgery, confirming the CT scan findings. Surgery included reduction of hernia content and sacrocolpopexy, placing a polypropylene mesh (Figs. 1 and 2).

Fig. 1.

Photograph of the patient prior to surgery. The existing tumour at labium majus level can be observed.

Fig. 2.

CT scan coronal cut showing caecum and terminal ileum at labium majus level.