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Rare case of angiofibroma presenting as perineal hernia
  1. Ruchika Kumari,
  2. Cherring Tandup,
  3. Ambuj Agarwal and
  4. Anish Chowdhury
  1. General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Cherring Tandup; ctandup{at}gmail.com

Abstract

Angiofibroma is a benign soft tissue tumour presenting as a gradually progressive swelling in the vulvovaginal area in women and in the inguinoscrotal region in men. Being a rare tumour, there are only a few case reports in the literature, and among them, presentation as perineal herniation is very rare. En bloc resection of angiofibroma either via laparoscopic or open approach is the choice of treatment to avoid recurrence. Detailed pathological examination and immunohistochemistry workup are imperative to distinguish it from various mesenchymal tumours. Perineal hernia is itself rare and may occur spontaneously or following abdominoperineal resection, sacrectomy or pelvic exenteration. Surgical repair via open transabdominal and transperineal approaches has been described. Here, we report a case of a young woman who presented with spontaneous reducible perineal hernia with a soft tissue tumour as its content, which on histopathological investigation was found to be an angiofibroma.

  • surgical oncology
  • general surgery
  • radiology

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Footnotes

  • Contributors The patient was admitted under CT. RK and AA were involved in the treatment of the patient. AC mentored in the treatment of the patient. I, RK and AA created this manuscript. AC and CT provided guidance for completing the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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