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Scholars Journal of Medical Case Reports | Volume-9 | Issue-12
Perineal Hernia another Complication That Influences the Quality of Life after Amputation of the Rectum: Case Report
Jalila Ters, Nizar El Bouardi, Hicham El Bouhaddouti, El Bachir Benjelloun, Abdelmalek Ousadden, Khalid Ait Taleb, Mouaqit Ouaddii
Published: Dec. 14, 2021 |
179
121
DOI: 10.36347/sjmcr.2021.v09i12.016
Pages: 1179-1182
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Abstract
Introduction: Perineal eventration or perineal hernia is a protrusion of the pelvic floor containing intra-abdominal viscera. The occurrence of postoperative perineal hernia after abdominoperineal resection (APR) is rare, but has increased recently affecting the quality of life of the patient. Presentation of case: Here, we report a 68 -year-old women with history of myomectomy was diagnosed with a low rectal cancer. She has abdominoperineale resection after radiotherapy. She was operated for white line hernia 2 years after with mesh fixation. She presented to us 5 months after the operation, with perineal bulge and discomfort. The diagnosis of a perineal hernia was made clinically and was complemented by a CT scan. Abdominal CT scan showed that part of the small intestine was slightly protruding from a large defect of the pelvis. Discussion: Recurrence rates of perineal eventration has increased recently. Many approaches have been described, but there is still no consensus as to the optimal repair technique for perineal eventration. Conclusion: This case report confirm that perineal eventration is frequent in women such as literature with other risk factors like APR radiotherapy and a history of pelvic surgery.