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By Mayo Clinic staffYou'll need a pelvic exam to confirm a diagnosis of an enterocele. Your doctor may ask you to take a deep breath and hold it while bearing down (Valsalva maneuver), which is likely to cause the prolapsed small bowel to bulge downward. If your doctor can't verify that you have an enterocele while you're lying on the examining table, he or she may repeat the exam while you're standing.