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Case Reports
. 2013 Apr 8;2013(4):rjt023.
doi: 10.1093/jscr/rjt023.

Biological mesh repair of a strangulated perineal hernia following abdominoperineal resection

Simon A Fallis  1 , Lewis H Taylor  2 , R M R Tiramularaju  2
Affiliations
Case Reports

Biological mesh repair of a strangulated perineal hernia following abdominoperineal resection

Simon A Fallis et al. J Surg Case Rep. .

Abstract

Perineal hernia is a recognized but uncommon complication following proctectomy. Emergency presentations of this hernia are very rare and are not well described in the literature. We present the case of an 81-year-old lady who presented with small bowel obstruction with strangulation secondary to a perineal hernia 2 years after abdominoperineal resection for carcinoma of the rectum. At laparotomy, a small bowel resection was required and a biological mesh was used to repair the perineal defect.

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Figures

Figure 1:
Figure 1:
Clinical examination of the perineum revealing perineal hernia.
Figure 2:
Figure 2:
Laparotomy findings of transition point of small bowel obstruction at neck of perineal hernia.
Figure 3:
Figure 3:
Bridging of perineal defect with Strattice™ Tissue Matrix before covering with omentum.
See this image and copyright information in PMC

References

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