[Primary posterior perineal hernia associated with dolichocolon]

Area of Science:

• General Surgery
• Gastroenterology

Background:

• Primary posterior perineal hernias are uncommon in men.
• This report details a rare case of perineal hernia co-occurring with dolichocolon.

Observation:

• A 71-year-old male presented with a 40-year history of a perineal mass.
• Physical examination revealed a right para-anal lump that enlarged with the Valsalva maneuver.
• Computed tomography identified a pelvic floor defect.

Findings:

• The pelvic floor defect was successfully reconstructed using a polypropylene mesh roll.
• This represents a novel surgical approach for perineal hernia associated with dolichocolon.

Implications:

• The findings suggest dolichocolon may be a risk factor for developing perineal hernias.
• Individualized surgical strategies and mesh reconstruction are crucial for managing perineal hernias.