Incarceration of bowel through opening of a 5-mm port.

An 85-year-old woman presented with genital prolapse (rectocele and cystocele) with stress urinary incontinence. Three days after laparoscopic promonto fixation, bowel became incarcerated in the opening of a 5-mm port site. This clinical case forces us to reconsider the harmlessness of 5-mm ports.

Coelobillardin, an iridoid glucoside dimer from Coelospermum billardieri.

A new iridoid glucoside dimer, coelobillardin (1), was isolated from the aerial parts of Coelospermum billardieri. Its structure has been elucidated on the basis of MS and NMR data. From a biogenetic point of view, this compound, which includes a cyclobutane basic core, should be considered as a [2+2] dimerization product of (E)-10-(4-hydroxycinnamoyloxy)loganin, which is the major iridoid isolated from the plant.