PMC5348604_01
Preoperative photo showing large perineal swelling (arrows) in the lithotomy position.
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The mass was soft, and could be easily repositioned (Fig. 1).
Computed temography image of the pelvis demonstrating a strang ulated perineal hernia.
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Abdominal contrast-enhanced computed tomography revealed a hernia in the perineum after APR, and prolapse of the small intestine from the level of the pelvic floor muscle was also observed (Fig. 2).
The small intestine on the verge of necrosis in the pelvic floor.
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For this reason, no intestinal resection was performed (Fig. 3).
Plain abdominal radiograph: An ileus tube was pushed into the ileocecum and its balloon was fixed at the cecal terminus.
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We introduced an ileus tube into the cecum and inflated its balloon at the cecal terminus to keep the position (Fig. 4).