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Rare pelvic floor hernias Report of a case and review of the literature

Rare pelvic floor hernias Report of a case and review of the literature CURRENT STATUS Lee E. Smith, M.D., Editor Rare Pelvic Floor Hernias Report of a Case and Review of the Literature Rebecca L. Call, M.D., Richard M. Pitsch, M.D., Garnet J. Blatchford, M.D., Alan Thorson, M.D., Mark A. Christensen, M.D. From the Department of Surgery, Division of Colorectal Surgery, Creighton University School of Medicine, Omaha, Nebraska The case of a 64-year-old female who presented with negative. Anorectal examination was significant for difficult evacuation of stool is reported. A posterior per- a few external tags and no masses or hemorrhoids. ineal hernia was diagnosed by dynamic proctography. Proctosigmoidoscopy revealed a dilated rectal am- The patient had an unusual herniation of the upper rec- tum through the perineal defect. At surgery, there was no pulla. Electromyography of the anal sphincter and peritoneal sac, since the herniation occurred extraperi- pudendal nerve latencies were normal. A DPG toneally. The patient was treated with repair of the pelvic showed a moderate anterior rectocele and a per- floor using Marlex mesh and rectopexy. Pelvic floor her- nias are rare and often difficult to diagnose. The three sistent barium-filled loop of bowel overlying the types, in order of decreasing frequency, are obturator, upper rectum (Figs. 1 and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Diseases of the Colon & Rectum Wolters Kluwer Health

Rare pelvic floor hernias Report of a case and review of the literature

Christensen, Mark A.
Diseases of the Colon & Rectum , Volume 35 (6) – Jun 1, 1992
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Copyright
© 1992 American Society of Colon and Rectal Surgeons
ISSN
0012-3706
eISSN
1530-0358
DOI
10.1007/BF02050544
Publisher site
See Article on Publisher Site

Abstract

CURRENT STATUS Lee E. Smith, M.D., Editor Rare Pelvic Floor Hernias Report of a Case and Review of the Literature Rebecca L. Call, M.D., Richard M. Pitsch, M.D., Garnet J. Blatchford, M.D., Alan Thorson, M.D., Mark A. Christensen, M.D. From the Department of Surgery, Division of Colorectal Surgery, Creighton University School of Medicine, Omaha, Nebraska The case of a 64-year-old female who presented with negative. Anorectal examination was significant for difficult evacuation of stool is reported. A posterior per- a few external tags and no masses or hemorrhoids. ineal hernia was diagnosed by dynamic proctography. Proctosigmoidoscopy revealed a dilated rectal am- The patient had an unusual herniation of the upper rec- tum through the perineal defect. At surgery, there was no pulla. Electromyography of the anal sphincter and peritoneal sac, since the herniation occurred extraperi- pudendal nerve latencies were normal. A DPG toneally. The patient was treated with repair of the pelvic showed a moderate anterior rectocele and a per- floor using Marlex mesh and rectopexy. Pelvic floor her- nias are rare and often difficult to diagnose. The three sistent barium-filled loop of bowel overlying the types, in order of decreasing frequency, are obturator, upper rectum (Figs. 1 and

Journal

Diseases of the Colon & Rectum – Wolters Kluwer Health

Published: Jun 1, 1992

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