Juntendo University Nerima Hospital, Tokyo, Japan.
Asian J Endosc Surg. 2020 Oct;13(4):600-604. doi: 10.1111/ases.12800. Epub 2020 Apr 1.
Perineal hernia is a type of pelvic floor hernia and an extremely rare pathologic state. Perineal hernias can be classified into anterior and posterior types according to their positional relationship to the superficial transverse perineal muscle. A 49-year-old woman presented with bulging of the right labium major while standing. Standing external ultrasonography revealed a mass in the bulge, which could not be identified by transvaginal ultrasonography, CT, or MRI. Although hernia content could not be identified preoperatively, the patient was given a diagnosis of primary perineal hernia and underwent laparoscopic repair. Symptoms resolved postoperatively, and no sign of relapse has been noted for 8 months postoperatively. Here, we report the case details and review previous case reports.
会阴疝是一种盆底疝，属于一种极其罕见的病理状态。根据其与会阴浅横肌的位置关系，会阴疝可分为前疝和后疝。一位 49 岁女性在站立时出现右侧大阴唇膨出。站立位外部超声检查显示膨出处有一肿块，经阴道超声、CT 或 MRI 均无法识别。虽然术前无法确定疝内容物，但患者被诊断为原发性会阴疝，并接受了腹腔镜修复。术后症状缓解，术后 8 个月无复发迹象。现将该病例的详细情况报告如下，并复习以往的病例报告。
