Congenital perineal hernia: a systematic review of case reports
- 01.12.2025
- Review
Erschienen in:
- Verfasst von
- Malik W. Z. Khan
- Muhammad Ahmad
- Samra Iftikhar
- Asfandiyar K. Mohmand
- Muhammad Esmat
- Salma Qudrat
- Jibran Ikram
- Salman Khan
- Long Tu
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
The purpose of this study is to systematically review the literature to evaluate the diagnostic methods, associated defects, treatment approaches, and outcomes of congenital perineal hernia.
Methods & results
We searched PubMed and Google Scholar from inception until January 7, 2024, to find relevant articles on congenital perineal hernia. A total of 87 articles were obtained which were screened based on eligibility criteria yielding a total of 12 documented cases that were summarized in a table.
Case description
We also present two cases of congenital perineal hernia in two siblings. A 28-day-old full-term infant presented with respiratory distress and pneumonia. Examination revealed a reducible swelling in the buttock. Imaging confirmed congenital diaphragmatic and perineal hernia. Emergency surgical correction of the diaphragmatic hernia was performed, but the infant’s condition worsened, leading to death 9 days after surgery due to sepsis and respiratory arrest. A 2.5-month-old infant presented with protrusion in the buttocks, irritability, and breathing difficulties. Examination revealed a reducible congenital perineal hernia. Imaging revealed herniation of the intestinal loops through a pelvic muscle defect. Although surgery was offered, the parents chose conservative management, and the patient remained asymptomatic at 4 months of age.
Conclusions
It is important to consider the possibility of congenital perineal hernia when encountering a reducible swelling in the buttock area. Our findings emphasize the need for individualized care based on case-specific attributes and highlight the complexity of congenital perineal hernias.
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- Titel
- Congenital perineal hernia: a systematic review of case reports
- Verfasst von
-
Malik W. Z. Khan
Muhammad Ahmad
Samra Iftikhar
Asfandiyar K. Mohmand
Muhammad Esmat
Salma Qudrat
Jibran Ikram
Salman Khan
Long Tu
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03204-8
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