Anterior enterocele as an etiology for anterior vaginal wall prolapse: a magnetic resonance defecography case series

  • Muhammad Aziz
  • Gaurav KhatriEmail author
  • Deborah Hess
  • Philippe Zimmern
Special Section: The pelvic floor


Pelvic floor hernias from the posterior cul-de-sac most often contain small bowel and are called enteroceles, however may contain sigmoid colon (sigmoidocele) or only peritoneal fat (peritoneocele). These cul-de-sac hernias typically cause bulging of the posterior vaginal wall, while anterior vaginal wall bulges are typically secondary to bladder prolapse in patients with pelvic floor deficiency. We report a series of seven patients who presented with anterior vaginal wall “mass” or bulge after cystectomy and were found on magnetic resonance defecography (MRD) to have enteroceles or sigmoidoceles in the anterior rather than posterior compartment. MRD was instrumental for diagnoses in these patients and to exclude local recurrence of bladder malignancy. We also report five additional patients that were found to have bowel herniation anterior to the vaginal apex, but without history of cystectomy.


Enterocele Peritoneal hernia MR defecography Anterior enterocele Atypical enterocele Cystectomy Pelvic organ prolapse 




Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of RadiologyUT Southwestern Medical CenterDallasUSA
  2. 2.Department of RadiologyUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.Department of UrologyUT Southwestern Medical CenterDallasUSA

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