case_images: PMC5516733_01
case_images: Axial CT image shows distended proximal bowel loop and collapsed distal loop (white arrow) at a transition zone (black arrow) between the uterus (asterisk) and the rectum (star).
case_images: CRIS2017-9819270.001.jpg
case_images: PMC5516733_01_CRIS2017-9819270.001.jpg
case_images: fig1
case_images: An emergency computed tomography (CT) revealed diffuse dilatation in proximal to mid ileal loop with abrupt luminal narrowing at distal ileum level without definite evidence of bowel ischemia (Figure 1).
case_images: Operative findings. The distal ileum is herniated into the defect of the Pouch of Douglas (arrow).
case_images: CRIS2017-9819270.002.jpg
case_images: PMC5516733_01_CRIS2017-9819270.002.jpg
case_images: fig2
case_images: During the operation, approximately 5 cm length of the distal ileum (45 cm from the ileocecal valve) had been herniated into a defect of the Pouch of Douglas, and there were no specific findings of pelvic examination (Figure 2).
case_images: After reduction of the herniated bowel, peritoneal defect between the uterus and the rectum is shown (arrow).
case_images: CRIS2017-9819270.003.jpg
case_images: PMC5516733_01_CRIS2017-9819270.003.jpg
case_images: fig3
case_images: After reduction of the herniated bowel that was incarcerated into a defect of the Pouch of Douglas, herniorrhaphy with primary sutures of the defect site was performed (Figure 3).