Snapshot quiz 14/13

Published: 09/19/2014

Authors: Al-Choule H, Ilum L, Sparre P and Olaison G

This patient was admitted because of a tender irreducible perineal mass. He had an abdominoperineal resection for rectal cancer 9 years previously. The pelvic floor was reconstructed with a gluteal muscle flap. CT shows herniation of small bowel below and behind the sacral bone. At laparotomy, 150 cm of gangrenous small bowel was resected with primary anastomosis. The perineal defect was closed with a biological mesh (porcine collagen). P