Pelvic leiomyoma presenting as perineal hernia

Primary perineal hernias are rare and can be a diagnostic challenge. We report the case of a 45-year-old female patient who presented with painless perineal swelling suggestive of perineal hernia. Computed tomography (CT) scanning revealed a pelvic mass herniating through the pelvic floor into the p...

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Published inHernia : the journal of hernias and abdominal wall surgery Vol. 13; no. 2; pp. 213 - 215
Main Authors Sistla, S. C., Reddy, R., Sankar, G., Elangovan, S.
Format Journal Article
LanguageEnglish
Published Paris Springer-Verlag 01.04.2009
Springer Nature B.V
Subjects
Abdominal Surgery
Case Report
Diagnosis, Differential
Female
Hernia - diagnostic imaging
Herniorrhaphy
Humans
Leiomyoma - diagnostic imaging
Leiomyoma - surgery
Medicine
Medicine & Public Health
Middle Aged
Perineum - diagnostic imaging
Perineum - surgery
Peritoneal Neoplasms - diagnostic imaging
Peritoneal Neoplasms - surgery
Tomography, X-Ray Computed
Leiomyoma
Perineal hernia
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Summary:Primary perineal hernias are rare and can be a diagnostic challenge. We report the case of a 45-year-old female patient who presented with painless perineal swelling suggestive of perineal hernia. Computed tomography (CT) scanning revealed a pelvic mass herniating through the pelvic floor into the perineum. The lesion was completely excised by an abdominoperineal approach. Histopathological examination of the lesion revealed a leiomyoma. This case report suggests that the possibility of perineal herniation of a pelvic leiomyoma should be considered in a female patient with suspected primary perineal hernia. We recommend an abdominoperineal approach for the surgical management of such a lesion.
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ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-008-0415-8