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• W2329230161 abstract "Las hernias perineales posteriores primarias en hombres son muy raras. Presentamos un caso de este tipo de hernia asociada a dolicocolon, una condición que a nuestro conocimiento no ha sido antes reportada. Un hombre de 71 años de edad presentó una tumoración perineal de 40 años de evolución. No tuvo el antecedente de cirugía perineal ni de trauma. En la exploración física se apreció una protuberancia de 4 × 3 cm en la región paraanal derecha, que aumentaba de volumen durante la maniobra de Valsalva. La tomografía computada mostró un defecto en el piso pélvico. Para su reconstrucción se colocó un rollo de malla de polipropileno dentro del defecto herniario. El caso que describimos es relevante por tratarse de una entidad clínica rara, como lo es la hernia perineal; pero, además, no se ha descrito su reparación mediante un rollo de malla ni se ha reportado asociada a dolicocolon, el cual puede ser considerado un factor de riesgo para su desarrollo. El abordaje quirúrgico y la técnica de reparación del piso pélvico de las hernias perineales deberán individualizarse. El uso de malla para la reconstrucción deberá siempre ser considerada. La presencia de dolicocolon puede contribuir al desarrollo progresivo de una hernia perineal. Primary posterior perineal hernias in men are rare. We report a case of this type of hernia associated with dolichocolon, a condition which, to our knowledge, has not been reported previously. A 71-year old male presenting with a perineal tumour of 40 years evolution. He had no history of perineal surgery or trauma. On physical examination, a lump of 4 × 3 cm was observed in the right para-anal region, which increased in volume during the Valsalva manoeuvre. Computed tomography showed a defect in the pelvic floor, which was reconstructed using a roll of polypropylene mesh in the hernia defect. The case described is of interest, not only because a perineal hernia is a rare clinical entity, but also because repair using a roll of mesh has not been reported associated with a dolichocolon, which can be considered a factor risk for development. The surgical approach and repair technique of the pelvic floor for perineal hernias should be individualised. The use of mesh for reconstruction should always be considered. The presence of dolichocolon can contribute to the gradual development of a perineal hernia." @default.
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• W2329230161 date "2017-03-01" @default.
• W2329230161 modified "2023-10-16" @default.
• W2329230161 title "Hernia perineal posterior primaria asociada a dolicocolon" @default.
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• W2329230161 doi "https://doi.org/10.1016/j.circir.2015.12.009" @default.
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