Sciatic Hernia Mimicking Perianal Abscess in a Cirrhotic Patient

Abstract

Abdominal hernias are very frequent in cirrhotic patients with ascites. The hernias usually present as umbilical, inguinal, incisional, or femoral. However, these patients can also develop uncommon hernias such as pelvic hernias because of pelvic floor weakness and high abdominal pressure due to ascites. We present the first case of a cirrhotic patient with ascites that developed a giant sciatic hernia mimicking a perianal abscess.

Abdominal hernias in cirrhotic patients: Surgery or conservative treatment? Results of a prospective cohort study in a high volume center: Cohort study

“…Hernia diagnoses in patients with portal hypertension may be tricky. The presence of collateral vein in the spermatic cord can mimic a groin hernia [30]; and hernia sacs present occasionally in unusual locations such as the perineum [31,32]. The availability of LT is also paramount, as probability of transplantation growths as the MELD increases, which commonly occurs in the postoperative period of hernia repair due to acute exacerbation of liver disease [33].…”

Successful manual reduction for ureterosciatic hernia: A case report

“…A search of English-language abstracts in PubMed and Igakuchuo-Zasshi through 2017, with keywords of “sciatic hernia” or “ureterosciatic hernia” revealed a total of 71 patients with sciatic hernias [1,[3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51], [52], [53], [54], [55], [56], [57], [58], [59], [60], [61], [62], [63], [64], [65], [66], [67], [68], [69], [70]]. Of 72 patients with a sciatic hernia including the present patient, for whom comprehensive data were found, there were 61 adults (age 29–93 years) (Table 1) and 11 children (age 2–660 days) (Table 2).…”