title: Pelvic leiomyoma presenting as perineal hernia.
abstract: 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.
authors.affiliation: Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondichery 605006, India. sarathsistla@hotmail.com
authors.forename: S C
authors.initials: SC
authors.lastname: Sistla
authors.forename: R
authors.initials: R
authors.lastname: Reddy
authors.forename: G
authors.initials: G
authors.lastname: Sankar
authors.forename: S
authors.initials: S
authors.lastname: Elangovan
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006547:Hernia / Q000000981:diagnostic imaging*; D059685:Herniorrhaphy; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D010502:Perineum / Q000000981:diagnostic imaging* / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed