Perineal Hernia another Complication That Influences the Quality of Life after Amputation of the Rectum: Case Report

Abstract

Introduction: Perineal eventration or perineal hernia is a protrusion of the pelvic floor containing intra-abdominal viscera. The occurrence of postoperative perineal hernia after abdominoperineal resection (APR) is rare, but has increased recently affecting the quality of life of the patient. Presentation of case: Here, we report a 68 -year-old women with history of myomectomy was diagnosed with a low rectal cancer. She has abdominoperineale resection after radiotherapy. She was operated for white line hernia 2 years after with mesh fixation. She presented to us 5 months after the operation, with perineal bulge and discomfort. The diagnosis of a perineal hernia was made clinically and was complemented by a CT scan. Abdominal CT scan showed that part of the small intestine was slightly protruding from a large defect of the pelvis. Discussion: Recurrence rates of perineal eventration has increased recently. Many approaches have been described, but there is still no consensus as to the optimal repair technique for perineal eventration. Conclusion: This case report confirm that perineal eventration is frequent in women such as literature with other risk factors like APR radiotherapy and a history of pelvic surgery.