We report on an unusual case of small bowel prolapse through a hiatus in the closed introitus vaginae after previous total colpectomy. The interval between colpectomy and present prolapse was nearly 4 years. The intestinum was reponated by abdominal approach, but a partial resection of the small bowel was not to avoid. The possible complications after vaginal hysterectomy resp. colpectomy are discussed. According to literature we didn't find a similar case.