Perineal hernias, also known as levator or pudendal hernias 2, (alternative plural: herniae) are rare pelvic hernias, occurring through a defect in the pelvic floor musculature.
More common in females, with peak age of presentation between 40 and 60 years.
Perineal hernias are classified as anterior or posterior depending on their relationship with the transverse perineal muscle. Anterior hernias are more common than posterior hernias and occur almost exclusively in females.
Hernias are most commonly acquired, with rare congenital cases. Acquired causes include pregnancy (accounting for the increased incidence in females), obesity or long-standing ascites. Secondary hernias also occur following extensive pelvic surgery such as pelvic exenteration.
Anterior hernias demonstrate herniation of bowel through the urogenital diaphragm.
Posterior perineal hernias are seen on CT as protrusion of loops of sigmoid colon or rectum into the ischioanal fossa.
Related Radiopaedia articles
- anterior abdominal wall herniation
- superior lumbar hernia
- inferior lumbar hernia
- groin herniation
- diaphragmatic herniation
internal herniation: an uncommon cause of bowel obstruction
- paraduodenal hernia: left and right
- lesser sac (foramen of Winslow) hernia
- pericaecal hernia
sigmoid mesocolon hernias
- intersigmoid hernia
- transmesosigmoid hernia
- intramesosigmoid hernia
small bowel mesentery internal hernia
- transmesenteric hernia
- intramesenteric hernia
- transomental hernia
- supravesical hernia
- pelvic internal hernia
- falciform ligament hernia
- internal hernia due to gastric bypass surgery
- Littre hernia: hernia containing a Meckel diverticulum
- pelvic hernia
- lung hernia