Abstract
In surgical emergency admissions, acute abdomen with intestinal obstruction is very common problem. Many causes of intestinal obstruction are there but most common once are postoperative bands and adhesions, hernias, tumors and congenital bands. Here we report very rare and unusual cause of acute abdomen with intestinal obstruction in a non hysterectomized 78-year-old female having pelvic herniation i.e. anterior and posterior vaginal enterocele, in which loop of intestine got entrapped, strangulated and became gangrenous. Exploratory laparotomy was performed and resection anastomosis of small bowel was done with obliteration of pouch of Douglas (Rectouterine space) and utero-vesicle space.