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Rare Enterorectal Pelvic Floor Hernia—A Cadaveric Study

Hocking, Jennifer C., PhD*; Hyakutake, Momoe, MD, FRCPC; Webber, Christine A., PhD*

Female Pelvic Medicine & Reconstructive Surgery: September/October 2018 - Volume 24 - Issue 5 - p e35–e37
doi: 10.1097/SPV.0000000000000491
Case Reports

We present a cadaveric case study of an 88-year-old woman with an unusual posterior perineal hernia containing small bowel, rectum, and mesentery. Dissection revealed several loops of the small bowel occupying the presacral space and displacement of the rectum into a large perineal evagination. The intestinal mucosa appeared to have been healthy at the time of death, and we did not find any indication of rectal prolapse. There was also no evidence of past surgery, suggestive of a primary hernia. We conclude this patient had a posterior enterorectal perineal hernia. Suggestions for surgical repair are described.

From the *Division of Anatomy, Department of Surgery, and

Department of Obstetrics and Gynecology, University of Alberta, Edmonton Alberta, Canada.

Correspondence: Christine A. Webber, PhD, 5-01 Medical Sciences Bldg, University of Alberta, Edmonton Alberta, Canada T6X 1B6. E-mail: webber2@ualberta.ca.

The authors have declared they have no conflicts of interest.

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