Certified Surgical Technologist (CST) Practice Exam

What is the name of the condition in which a loop of bowel herniates into the Douglas's cul de sac?

1. Cystocele

2. Rectocele

3. Enterocele

4. Omphalocele

The correct answer is: Enterocele

The condition where a loop of bowel herniates into Douglas's cul de sac is called an enterocele. This specific type of herniation occurs when the small intestine descends into the space between the rectum and the uterus, also referred to as the rectouterine pouch or Douglas's cul de sac. In the context of surgical technology and medicine, recognizing this condition is important because it can lead to complications such as bowel obstruction or incarceration of the herniated segment. Understanding the anatomy of the pelvic region and how various types of hernias can occur helps surgical technologists assist effectively during surgical procedures that may address these conditions. Other conditions mentioned, like cystocele and rectocele, pertain to the herniation of the bladder and rectum, respectively, but do not involve bowel herniating into the cul de sac. Omphalocele is a congenital condition where the intestines or other abdominal organs are outside the body because of a defect in the abdominal wall. Each of these conditions has distinct anatomical implications and requires different surgical considerations. Thus, recognizing enterocele specifically is essential for understanding the variety of possible complications in pelvic and abdominal cases.