A mild enterocele, or small bowel prolapse, may be undetectable, but signs of a serious enterocele include low back pain that subsides when lying down, vaginal discomfort, and a feeling of pressure, fullness or pain in the pelvis, according to Mayo Clinic. An enterocele may cause a pulling sensation in the pelvis that becomes less intense when lying down. A small bowel prolapse may cause a soft bulge of tissue in the vagina, and sexual intercourse may be uncomfortable.
Women with an enterocele may also have a prolapse of other organs associated with the pelvis, including the rectum, uterus or bladder, notes Mayo Clinic. If symptoms caused by a small bowel prolapse become bothersome, it is a good idea to schedule an appointment with a health care provider.
Pelvic organ prolapses, including enteroceles, are primarily caused by pressure on the pelvic wall, states Mayo Clinic. The most common causes of enteroceles are childbirth and pregnancy, but not all women who are pregnant or who give birth experience a small bowel prolapse.
Other causes of a small bowel prolapse include struggling with difficult bowel movements and chronic constipation, according to Mayo Clinic. Being overweight or obese may also cause a small bowel prolapse. Excessive lifting is another common cause of enteroceles.