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Sacrocolpopexy is currently a favourable procedure for management of apical defect and vaginal vault prolapse. Recently, it has been extensively evaluated in terms of its efficacy, durability and potential short-and long-term complications. These complications have been investigated by many authors, including urinary retention, urge incontinence, urinary tract infections, wound infection, haematomas, bowel symptoms and gastrointestinal complications. However, we report the first case of strangulated small bowel due to herniation through vaginal vault rupture as a late complication of sacrocolpopexy. This report reviews the risk factors and precipitating causes of bowel evisceration particularly after sacrocolpopexy, and peri-and intraoperative preventive measures are discussed, as well as various management modalities.

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