Perineal hernias in children: Case report and review of the literature

Abstract

Perineal hernias (pelvic floor hernias) are extremely rare occurring through defects in musculature of the pelvic floor. This report presents a successfully treated case of primary perineal hernia and takes a review of the existing literature. The case of a 14-month-old girl with a great perineal hernia is presented. Diagnosis was secured by barium enema. The pelvic defect was successfully treated by primary suture with prolene. The literature shows many different approaches for treatment of perineal hernia, such as open or laparoscopic mesh repair, and perineal, abdominal or combined access in the adult, but our case like others confirms that primary closure of the hernial orifice through a perineal approach is also feasible in children.

Perineal Hernia in a One Month Child: A Case Report

“…In posterior perineal hernias, the muscular defect lies posterior to the transverse perineal muscle, usually between the rectum and the ischial tuberosity [3]. In females, the defect is through the levator ani muscles or between the levator ani and coccygeus muscles [3]. In males, posterior perineal hernias may appear in the ischiorectal fossa or perineum, just lateral to the median raphe [3], as in our patient.…”

“…In females, the defect is through the levator ani muscles or between the levator ani and coccygeus muscles [3]. In males, posterior perineal hernias may appear in the ischiorectal fossa or perineum, just lateral to the median raphe [3], as in our patient.…”

“…PH were described for the first time in 1743 by Garangeort and are extremely rare [1,5]. The rarity of this condition is attested to by the paucity of studies reporting its occurrence and management [3]. Perineal hernias may occur anteriorly or posteriorly to the superficial transverse perineal muscles [1].…”

“…Perineal hernias may occur anteriorly or posteriorly to the superficial transverse perineal muscles [1]. Anterior perineal hernias (which have never been reported in males) emerge anterior to the transverse perineal muscles and often present as a mass in the labia [3]. In posterior perineal hernias, the muscular defect lies posterior to the transverse perineal muscle, usually between the rectum and the ischial tuberosity [3].…”

“…Anterior perineal hernias (which have never been reported in males) emerge anterior to the transverse perineal muscles and often present as a mass in the labia [3]. In posterior perineal hernias, the muscular defect lies posterior to the transverse perineal muscle, usually between the rectum and the ischial tuberosity [3]. In females, the defect is through the levator ani muscles or between the levator ani and coccygeus muscles [3].…”