Four Cases of Perineal Groove—Experience of a Greek Maternity Hospital

Perineal groove is a well-defined clinical entity that belongs to a broader group of anorectal malformations. It is characterized by a non-epithelialized mucous membrane that appears as an erythematous sulcus in the perineal midline, extending from the posterior vaginal fourchette to the anterior an...

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Main Authors: Theodora Boutsikou, Vasiliki Mougiou, Rozeta Sokou, Maria Kollia, George Kafalidis, Zoi Iliodromiti, Christos Salakos, Nicoletta Iacovidou
Format: Article
Language:English
Published: MDPI AG 2019-08-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/8/488
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author Theodora Boutsikou
Vasiliki Mougiou
Rozeta Sokou
Maria Kollia
George Kafalidis
Zoi Iliodromiti
Christos Salakos
Nicoletta Iacovidou
author_facet Theodora Boutsikou
Vasiliki Mougiou
Rozeta Sokou
Maria Kollia
George Kafalidis
Zoi Iliodromiti
Christos Salakos
Nicoletta Iacovidou
author_sort Theodora Boutsikou
collection DOAJ
description Perineal groove is a well-defined clinical entity that belongs to a broader group of anorectal malformations. It is characterized by a non-epithelialized mucous membrane that appears as an erythematous sulcus in the perineal midline, extending from the posterior vaginal fourchette to the anterior anal orifice. The defect is gradually cicatrized, unless there are complications like infection, defecation disorders, trauma, and bleeding. The differential diagnosis includes several other conditions like trauma, infection, irritant dermatitis, lichen sclerosis, and ulcerated hemangioma. Since it is a rare malformation, it is often misdiagnosed and its presence often elicits unnecessary diagnostic workup and intervention. In this respect, neonatologists, dermatologists, or pediatric surgeons may under- or overestimate it. We report four cases of perineal groove out of 2250 live births at a Greek Maternity Hospital between September 2016 and April 2019. The “high” incidence of perineal groove cases in our Department allowed us to familiarize with this rare defect and minimize our clinical interventions.
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spelling doaj.art-0b6b5e0aa79c4d6bace0dd461050dd8b2023-09-02T14:26:54ZengMDPI AGMedicina1010-660X2019-08-0155848810.3390/medicina55080488medicina55080488Four Cases of Perineal Groove—Experience of a Greek Maternity HospitalTheodora Boutsikou0Vasiliki Mougiou1Rozeta Sokou2Maria Kollia3George Kafalidis4Zoi Iliodromiti5Christos Salakos6Nicoletta Iacovidou7Neonatal Department, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceNeonatal Department, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceNeonatal Intensive Care Unit, “Agios Panteleimon”, General Hospital of Nikaia, 18454 Piraeus, GreeceNeonatal Department, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreecePediatric Clinic, “Agios Panteleimon” General Hospital of Nikaia, 18454 Piraeus, GreeceNeonatal Department, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreeceDepartment of Pediatric Surgery, “Attikon” Hospital, National and Kapodistrian University of Athens, 12462 Athens, GreeceNeonatal Department, Medical School, National and Kapodistrian University of Athens, 11528 Athens, GreecePerineal groove is a well-defined clinical entity that belongs to a broader group of anorectal malformations. It is characterized by a non-epithelialized mucous membrane that appears as an erythematous sulcus in the perineal midline, extending from the posterior vaginal fourchette to the anterior anal orifice. The defect is gradually cicatrized, unless there are complications like infection, defecation disorders, trauma, and bleeding. The differential diagnosis includes several other conditions like trauma, infection, irritant dermatitis, lichen sclerosis, and ulcerated hemangioma. Since it is a rare malformation, it is often misdiagnosed and its presence often elicits unnecessary diagnostic workup and intervention. In this respect, neonatologists, dermatologists, or pediatric surgeons may under- or overestimate it. We report four cases of perineal groove out of 2250 live births at a Greek Maternity Hospital between September 2016 and April 2019. The “high” incidence of perineal groove cases in our Department allowed us to familiarize with this rare defect and minimize our clinical interventions.https://www.mdpi.com/1010-660X/55/8/488perineal grooveneonateanorectal malformationsperineumgestation
spellingShingle Theodora Boutsikou
Vasiliki Mougiou
Rozeta Sokou
Maria Kollia
George Kafalidis
Zoi Iliodromiti
Christos Salakos
Nicoletta Iacovidou
Four Cases of Perineal Groove—Experience of a Greek Maternity Hospital
Medicina
perineal groove
neonate
anorectal malformations
perineum
gestation
title Four Cases of Perineal Groove—Experience of a Greek Maternity Hospital
title_full Four Cases of Perineal Groove—Experience of a Greek Maternity Hospital
title_fullStr Four Cases of Perineal Groove—Experience of a Greek Maternity Hospital
title_full_unstemmed Four Cases of Perineal Groove—Experience of a Greek Maternity Hospital
title_short Four Cases of Perineal Groove—Experience of a Greek Maternity Hospital
title_sort four cases of perineal groove experience of a greek maternity hospital
topic perineal groove
neonate
anorectal malformations
perineum
gestation
url https://www.mdpi.com/1010-660X/55/8/488
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