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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.

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Related Experiment Video

Updated: Jun 29, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Perineal hernia.

Sandra Baleato Gonzalez1, J C Vilanova, Lucía Lopez Carreira

  • 1Department of Diagnostic Imaging, CHOP, Pontevedra, Spain. baleatorum@hotmail.com

Emergency Radiology
|October 3, 2008
PubMed
Summary

This case report highlights an infrequent abdominal wall hernia complication. Multi-detector computed tomography (MDCT) and barium enema imaging are crucial for diagnosing such rare hernias and guiding emergency surgical intervention.

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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Area of Science:

  • Radiology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Abdominal wall hernias are common, but complications like strangulation or obstruction require prompt diagnosis.
  • This article focuses on an uncommon hernia type, detailing its imaging characteristics and differential diagnoses.

Observation:

  • A 76-year-old female presented with abdominal pain, vomiting, and diarrhea, indicative of a potential obstruction.
  • Colonoscopy revealed stenosis, and subsequent barium enema and multi-detector computed tomography (MDCT) identified a large mass in the ischiorectal fossa containing herniated sigmoid colon.

Findings:

  • Multi-detector computed tomography (MDCT) is vital for identifying abdominal wall hernias and assessing their clinical significance.
  • Radiological features on MDCT and barium-enhanced radiographs are key to confidently diagnosing various abdominal hernia types.

Implications:

  • Early detection of complex abdominal wall hernias through advanced imaging is essential for timely surgical management.
  • Understanding the imaging findings of rare hernias improves diagnostic accuracy and patient outcomes.