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Hernia. 2009 Apr;13(2):213-5. doi: 10.1007/s10029-008-0415-8. Epub 2008 Jul 31.

Pelvic leiomyoma presenting as perineal hernia.

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  • 1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondichery 605006, India.


Primary perineal hernias are rare and can be a diagnostic challenge. We report the case of a 45-year-old female patient who presented with painless perineal swelling suggestive of perineal hernia. Computed tomography (CT) scanning revealed a pelvic mass herniating through the pelvic floor into the perineum. The lesion was completely excised by an abdominoperineal approach. Histopathological examination of the lesion revealed a leiomyoma. This case report suggests that the possibility of perineal herniation of a pelvic leiomyoma should be considered in a female patient with suspected primary perineal hernia. We recommend an abdominoperineal approach for the surgical management of such a lesion.

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