`

Enterocoele And Sigmoidocoele


WHAT ARE They?

An enterocoele (or enterocele) occurs when the small bowel pushes down from within the abdominal cavity onto the back wall of the vagina. It forms a big lump between the bowel and vagina. When the large bowel (sigmoid colon) comes down, we call this a sigmoidocoele (or sigmoidocele). Enterocoeles and sigmoidocoeles cause similar symptoms and usually respond to identical treatments.

normal_anatomy.png
enterocoele.png

WHAT CAUSES THEM?

The most common cause is a weakness in the rectovaginal septum from birth trauma, in particular multiple, difficult births. Whilst an enterocoele or sigmoidocoele may occur in isolation, it often occurs in association with other problems such as intussusception or prolapse.

WHAT SYMPTOMS DO THEY CAUSE?

The common symptoms are of a lump coming down between the bowel and vagina that pushes on both. Sometimes a dragging sensation in the pelvis or tummy and occasional even backache can be caused by enterocoeles.

HOW ARE THEY DIAGNOSED?

The surgeon seeing you will often be able to detect the presence of an enterocoele or sigmoidocoele by examining you. A proctogram is useful in confirming the diagnosis and establishing whether the enterocoele/sigmoidocoele is an isolated problem or is present in association with other abnormalities.

HOW CAN THEY BE TREATED?

Treatment for an enterocoele, in patients with significant symptoms, is usually by laparoscopic ventral rectopexy. This procedure will also treat any co-existing rectocoele and/or prolapse.


Please be advised that the information on this website is not a substitute for professional medical advice, diagnosis or treatment