Fig. 15

Peritoneocele with vaginal vault prolapse and rectal intussusception. (a, b) Sagittal midline TrueFISP images at rest (a) and during defecation (b) of a patient previously submitted to hysterectomy, showing a peritoneocele, where adipose peritoneal folds insinuate to the rectovaginal septum. It is associated with a prolapse of the vaginal vault, with the vaginal apex (white arrows) below the PCL (red line) during the evacuation. An apparent rectal invagination is also present (red arrow). Orange line: extent of the peritoneocele