Perineal hernia

被引：4

作者：

Baleato Gonzalez S. ^{[1
,4
]}

Vilanova J.C. ^{[2
]}

Lopez Carreira L. ^{[3
]}

Gracía-Figueiras R. ^{[3
]}

Pazos Gonzalez G. ^{[3
]}

Ortiz-Terán L. ^{[1
]}

机构：

[1] Department of Diagnostic Imaging, CHOP, Pontevedra

[2] Department of Diagnostic Imaging, Clínica Girona, Girona

[3] Department of Diagnostic Imaging, CHUS, Santiago

[4] Department of Radiology, CHOP, Pontevedra

来源：

Emergency Radiology | 2009年 / 16卷 / 5期

关键词：

Abdominal wall hernia; Perineal hernia;

D O I：

10.1007/s10140-008-0768-4

中图分类号：

学科分类号：

摘要：

Abdominal wall hernias are a common abdominal pathology with higher prevalence in our population. It is usually asymptomatic but complications such as strangulation, incarceration or bowel obstruction need early detection and emergency surgery. The purpose of this article is to describe the infrequent type of hernia, illustrate the imaging findings and review the differential diagnosis. A 76-year-old woman was admitted in the emergency room with abdominal pain, vomits and diarrhoea. At her admission, a colonoscopy was attempted to perform but it was not possible to go beyond the stenosis. A barium enema and a multi-detector computed tomography (MDCT) were performed revealing a large mass in the left ischiorectal fossa, containing herniated loops of sigmoid colon adjacent to rectum. Abdominal wall hernias occur at areas of congenital or acquired weakness in the abdominal wall and are considered external hernias. MDCT is essential to identify wall hernias, make an accurate diagnosis and help for its clinical assessment. Knowing the radiological features of various types of abdominal hernias on MDCT and barium-enhanced radiographs allows confident diagnosis of these pathologies. © 2008 Am Soc Emergency Radiol.

引用

页码：395 / 398

页数：3

共 13 条

[1]

Preiss A., Herbig B., Dorner A., Primary perineal hernia: A case report and review of the literature, Hernia, 10, 5, pp. 430-433, (2006)

[2]

Salum M.R., Prado-Kobata M.H., Saad S.S., Matos D., Primary perineal posterior hernia. An abdominoperineal approach for mesh repair of the pelvic floor, Clinics, 60, 1, pp. 71-74, (2005)

[3]

Rutkow I.M., Surgical operations in the United States: Then (1983) and now (1994), Arch Surg, 132, pp. 983-990, (1997)

[4]

Takeyama N., Gokan T., CT of internal hernias, Radiographics, 25, pp. 997-1015, (2005)

[5]

Gomez Alonso A., Del Villar J.L., Perez Garcia A., Balibrea Cantero J.L., Hernias, Patología Quirúrgica Vol. 3, pp. 1854-1878, (2002)

[6]

Rebecca L.C., Richard M.P., Garnet J.B., Thorson A., Cristensen M.A., Rare pelvic floor hernias. Report of a case and review of the literature, Dis Colon Rectum, 35, pp. 604-612, (1992)

[7]

Abrahamson J., Zinner M.J., Hernias, Maingot's Abdominal Operations, Vol. 1, 10th Ed, (1997)

[8]

Aboian E., Winter D.C., Metcalf D.R., Wolff B.G., Perineal Hernia after protectomy: Prevalence, risks, and management, Dis Colon Rectum, 49, 10, pp. 1564-1568, (2006)

[9]

Aguirre D.A., Casola G., Sirlin C., Abdominal wall hernias: MDCT findings, AJR Am J Roentgenol, 183, pp. 681-690, (2004)

[10]

Emby D.J., Aoun G., CT technique for suspected anterior abdominal wall hernia, AJR Am J Roentgenol, 181, pp. 431-433, (2003)

← 1 2 →