Bilateral congenital perineal hernias: Spontaneous resolution
A congenital perineal hernia develops through a defect in the pelvic floor muscles and presents as a reducible buttock swelling. These hernias are exceptionally rare with only six cases previously documented in the English literature. We report an extremely premature infant who developed bilateral p...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-06-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576618300319 |
| _version_ | 1811240725704081408 |
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| author | Lachlan J.R. Harrison Vaughan F. Richardson Jean Murdoch Mark D. Stringer |
| author_facet | Lachlan J.R. Harrison Vaughan F. Richardson Jean Murdoch Mark D. Stringer |
| author_sort | Lachlan J.R. Harrison |
| collection | DOAJ |
| description | A congenital perineal hernia develops through a defect in the pelvic floor muscles and presents as a reducible buttock swelling. These hernias are exceptionally rare with only six cases previously documented in the English literature. We report an extremely premature infant who developed bilateral posterior perineal hernias at 2 weeks of age. The diagnosis was confirmed by ultrasound scan. She remained asymptomatic. By a corrected age of 10 weeks post term, the hernias had resolved clinically and on imaging. A congenital perineal hernia should be considered in the differential diagnosis of a reducible buttock swelling. The diagnosis can be confirmed by imaging and elective surgical repair is indicated for symptomatic or persistent hernias. This case demonstrates that an asymptomatic perineal hernia in a very premature infant should initially be managed conservatively as it may resolve spontaneously. Keywords: Buttock mass, Pelvic hernia |
| first_indexed | 2024-04-12T13:25:20Z |
| format | Article |
| id | doaj.art-978743291fd442dbab33282476ce892f |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-12T13:25:20Z |
| publishDate | 2018-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-978743291fd442dbab33282476ce892f2022-12-22T03:31:20ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662018-06-01332629Bilateral congenital perineal hernias: Spontaneous resolutionLachlan J.R. Harrison0Vaughan F. Richardson1Jean Murdoch2Mark D. Stringer3Department of Paediatric Surgery, Wellington Children's Hospital and Department of Paediatrics and Child Health, Wellington School of Medicine, University of Otago, Wellington, New ZealandNeonatal Intensive Care Unit, Wellington Hospital, Wellington, New ZealandRadiology Services, Wellington Hospital Wellington, Wellington, New ZealandDepartment of Paediatric Surgery, Wellington Children's Hospital and Department of Paediatrics and Child Health, Wellington School of Medicine, University of Otago, Wellington, New Zealand; Corresponding author. Department of Paediatric Surgery, Level 4 CSB, Wellington Children's Hospital, Riddiford Street, Wellington 6021, New Zealand.A congenital perineal hernia develops through a defect in the pelvic floor muscles and presents as a reducible buttock swelling. These hernias are exceptionally rare with only six cases previously documented in the English literature. We report an extremely premature infant who developed bilateral posterior perineal hernias at 2 weeks of age. The diagnosis was confirmed by ultrasound scan. She remained asymptomatic. By a corrected age of 10 weeks post term, the hernias had resolved clinically and on imaging. A congenital perineal hernia should be considered in the differential diagnosis of a reducible buttock swelling. The diagnosis can be confirmed by imaging and elective surgical repair is indicated for symptomatic or persistent hernias. This case demonstrates that an asymptomatic perineal hernia in a very premature infant should initially be managed conservatively as it may resolve spontaneously. Keywords: Buttock mass, Pelvic herniahttp://www.sciencedirect.com/science/article/pii/S2213576618300319 |
| spellingShingle | Lachlan J.R. Harrison Vaughan F. Richardson Jean Murdoch Mark D. Stringer Bilateral congenital perineal hernias: Spontaneous resolution Journal of Pediatric Surgery Case Reports |
| title | Bilateral congenital perineal hernias: Spontaneous resolution |
| title_full | Bilateral congenital perineal hernias: Spontaneous resolution |
| title_fullStr | Bilateral congenital perineal hernias: Spontaneous resolution |
| title_full_unstemmed | Bilateral congenital perineal hernias: Spontaneous resolution |
| title_short | Bilateral congenital perineal hernias: Spontaneous resolution |
| title_sort | bilateral congenital perineal hernias spontaneous resolution |
| url | http://www.sciencedirect.com/science/article/pii/S2213576618300319 |
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