We present a case of 72-year-old patient, who underwent a 10 years ago a total vaginal hysterectomy, was admitted for transvaginal bowel evisceration. This affection is an exceptional complication of pelvic surgery. There is no gold standard surgical approach but exploratory laparotomy is mandatory in case of bowel necrosis.

Extra-gonadal mature teratoma is a rare benign tumor occurring rarely in adults. The retroperitoneal localization constitutes less than 4%. Treatment consists of surgical resection. Histological examination is essential for definitive diagnosis. We reported an unusual case of mature retroperitoneal teratoma discovered in a young man with abdominal pain.