Physical Therapy Assistant Practice Exam

Which pelvic condition results from the protrusion of the small bowel into the vagina?

1. Cystocele

2. Rectocele

3. Enterocele

4. Uterine prolapse

The correct answer is: Enterocele

The condition that results from the protrusion of the small bowel into the vagina is correctly identified as enterocele. An enterocele occurs when the small intestine bulges into the vaginal canal due to weakness in the pelvic support structures, often as a result of childbirth or other factors that strain these structures over time. In this condition, the herniated bowel can cause symptoms such as a feeling of fullness or pressure, discomfort in the pelvic area, and issues with bowel habits. It is important to differentiate this from other similar conditions: Cystocele involves the bladder protruding into the anterior wall of the vagina, while rectocele pertains to the rectum bulging into the posterior wall of the vagina. Uterine prolapse is the descent of the uterus into the vaginal canal due to weakened pelvic support. Each of these conditions has specific anatomical implications, but enterocele specifically pertains to the small intestine's involvement in the vaginal protrusion.