Enterocele is a condition occurring in women only and is defined as a hernia of the Pouch of Douglas. It usually contains small bowel, omentum or both. Although a posterior enterocele is by far the most frequently seen, lateral and anterior enteroceles also have been described [1]. In this case we present a 71-year-old woman admitted to our general surgery service complaining of having a bulge in her genitalia (Figure 1). Past medical history was relevant for a surgical intervention of an abdominal hysterectomy 2 days ago. On physical examination, small bowel loops were protruding through the vagina. Urgent surgical intervention was performed finding a 5-cm gap at the vaginal vault which was closed with non-absorbable suture (with the small bowel previously reintroduced into the abdominal cavity). There was no need for small bowel resection. The patient had an uneventful recovery.