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Perineal hernia is a hernia involving the perineum (pelvic floor). The hernia may contain fluid, fat , any part of the intestine , the rectum , or the bladder . It is known to occur in humans , dogs , and other mammals, and often appears as a sudden swelling to one side (sometimes both sides) of the anus .
A rectal prolapse occurs when walls of the rectum have prolapsed to such a degree that they protrude out of the anus and are visible outside the body. [2] However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on whether the prolapsed section is visible externally, and whether the full or only partial thickness of the rectal wall is involved.
Severe cases may cause vaginal bleeding, intermittent fecal incontinence, or even the prolapse of the bulge through the mouth of the vagina, or rectal prolapse through the anus. Digital evacuation, or, manual pushing, on the posterior wall of the vagina helps to aid in bowel movement in a majority of cases of rectocele.
A middle-aged man was reported in 1843 to have died following an application, performed to treat a strangulated hernia, [14] and in a similar case in 1847 a woman was given a liquid tobacco enema, supplemented with a chicken broth enema, and pills of opium and calomel (taken orally). The woman later recovered.
Cul-de-sac hernia (peritoneocele / omentocele) may appear on fluoroscopic defecography as an un-opacified mass which deforms the anterior border of the rectum and the posterior border of the vagina, with widening of the recto-vaginal space in between. [1] On magnetic resonance defecography, the vagina and rectum may appear clearly "splayed ...
It is thought that enterocele may initiate or aggravate a rectal intussusception (internal rectal prolapse). The hernia may descend into and impinge upon the rectal wall. [5] Enterocele or sigmoidocele may be associated with descending perineum syndrome. [11] The enterocele can remain confined in the space between the rectum and the vagina. [5]
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