{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:34:19Z","timestamp":1753893259659,"version":"3.41.2"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:00:00Z","timestamp":1689206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Enterocele is an uncommon, serious condition that requires accurate and early diagnosis to prevent complications such as intestinal obstruction, incarceration, and strangulation, with consequent intestinal ischemia, necrosis, and evisceration. We report a rare case of a patient with a voluminous enterocele and initial signs of intestinal ischemia who underwent urgent vaginal surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case description<\/jats:title><jats:p>An 80-year-old woman presented with a voluminous mass protruding from the vagina, associated abdominopelvic pain, a 10-day history of bowel sub-occlusion, and numerous episodes of profuse vaginal bleeding. She was diagnosed with an enterocele with early signs of complications. Owing to her advanced clinical condition and comorbidities, we opted for an urgent vaginal procedure. Intestinal loops with initial signs of ischemia were resected via a transvaginal approach, leading to good clinical outcomes. She was discharged on postoperative day 5.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This rare case highlights a surgical emergency that was managed with transvaginal resection of the intestine. Early identification of the initial signs of complications allowed for this less invasive approach, resulting in reduced morbidity and length of hospital stay.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2023.1228981","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T12:59:16Z","timestamp":1689253156000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Complicated enterocele: timely resolution with bowel resection via a vaginal approach: case report"],"prefix":"10.3389","volume":"10","author":[{"given":"Paola","family":"Abis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clelia","family":"Madeddu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Magro Malosso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Sole","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Mereu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgia","family":"Locci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Macci\u00f2","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1796365","DOI":"10.1155\/2020\/17963","article-title":"Enterocele presenting as anterior rectal prolapse: resolution with vaginal repair","volume":"2020","author":"Towers","year":"2020","journal-title":"Case Rep Obstet Gynecol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/j.ajog.2004.12.022","article-title":"Vaginal herniation: case report and review of the literature","volume":"193","author":"Nasr","year":"2005","journal-title":"Am J Obstet Gynecol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1097\/01.AOG.0000115507.26155.45","article-title":"Characteristics of patients with vaginal rupture and evisceration","volume":"103","author":"Croak","year":"2004","journal-title":"Obstet Gynecol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1097\/00006254-200207000-00023","article-title":"Vaginal evisceration after hysterectomy: a literature review","volume":"57","author":"Ramirez","year":"2002","journal-title":"Obstet Gynecol Surv"},{"key":"B5","first-page":"214","article-title":"The anatomic defects in rectocele and enterocele","volume":"1","author":"Richardson","year":"1995","journal-title":"J Pelvic Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/jscr\/rjz317","article-title":"Vaginal evisceration of small bowel","volume":"11","author":"Rogers","year":"2019","journal-title":"J Surg Case Rep"},{"key":"B7","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1007\/BF01901112","article-title":"Evisceration after enterocele repair: a rare complication of vaginal surgery","volume":"7","author":"Virtanen","year":"1996","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1186\/1865-1380-4-66","article-title":"Trasvaginal evisceration progressing to peritonitis in the emergency department: a case report","volume":"4","author":"Lawson","year":"2011","journal-title":"Int J Emerge Med"},{"key":"B9","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1590\/S1807-59322010000500015","article-title":"Spontaneous trasvaginal small bowel evisceration: a case report","volume":"65","author":"Parra","year":"2010","journal-title":"Clinics"},{"key":"B10","doi-asserted-by":"publisher","first-page":"rjab343","DOI":"10.1093\/jscr\/rjab343","article-title":"Small bowel evisceration from vagina","volume":"2021","author":"Wan Hassan","year":"2021","journal-title":"J Surg Case Rep"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e5947","DOI":"10.7759\/cureus.5947","article-title":"Small bowel evisceration through the vaginal vault: a rare surgical emergency","volume":"11","author":"Rana","year":"2019","journal-title":"Cureus"},{"key":"B12","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1186\/s12893-022-01615-x","article-title":"Spontaneous transvaginal intestinal evisceration in case of long-standing uterine prolapse","volume":"22","author":"Arabadzhieva","year":"2022","journal-title":"BMC Surg"},{"key":"B13","first-page":"957","article-title":"Rupture traumatique du vagin; 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