Rare pelvic floor hernias |
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Authors: | Rebecca L Cali MD Richard M Pitsch MD Garnet J Blatchford MD Alan Thorson MD Mark A Christensen MD |
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Institution: | (1) Department of Surgery, Division of Colorectal Surgery, Creighton University School of Medicine, Omaha, Nebraska |
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Abstract: | The case of a 64-year-old female who presented with difficult evacuation of stool is reported. A posterior perineal hernia was diagnosed by dynamic proctography. The patient had an unusual herniation of the upper rectum through the perineal defect. At surgery, there was no peritoneal sac, since the herniation occurred extraperitoneally. The patient was treated with repair of the pelvic floor using Marlex mesh and rectopexy. Pelvic floor hernias are rare and often difficult to diagnose. The three types, in order of decreasing frequency, are obturator, perineal, and sciatic. The etiology, diagnosis, and treatment of each is discussed. |
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Keywords: | Pelvic floor hernia Sciatic hernia Perineal hernia Obturator hernia Dynamic proctography |
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