case_images: PMC2929607_01
case_images: Preoperative picture showing the perineal hernia defect.
case_images: CRM2010-126483.001.jpg
case_images: PMC2929607_01_CRM2010-126483.001.jpg
case_images: fig1
case_images: At six-month clinical followup, he complained of a reducible, painless incisional perineal hernia extending into the scrotum (Figure 1).
case_images: Intra-abdominal view of bowel loops mobilised from perineal wall defect.
case_images: CRM2010-126483.002.jpg
case_images: PMC2929607_01_CRM2010-126483.002.jpg
case_images: fig2
case_images: Placement of the patient in a steep trendelenburg position facilitated division of adhesions with mobilisation of the small bowel loops out of the hernial defect (Figure 2).
case_images: Five months postoperative perineal hernia repair with no evidence of recurrence.
case_images: CRM2010-126483.003.jpg
case_images: PMC2929607_01_CRM2010-126483.003.jpg
case_images: fig3
case_images: Following repair, the patient remained asymptomatic with no evidence of recurrence of the perineal hernia (Figure 3, five months post repair) at 18-month followup.