Neurofibroma – Sliding Hernia Through Obturator Foramen

SUMMARYThe abdominal swelling seemed to be soft but solid. It appeared to herniate through the pelvis close to the ischial tuberosity. It was of uncertain origin, possibly a benign connective tissue neoplasm.The patient was transferred to theatre for removal of the swelling. Due to the nature of the swelling it was necessary to remove it in two stages, using an abdominal and a perineal approach. Removal was difficult as the tumour was adherent to the bladder and uterine walls. The tumour was completely excised and cysto‐stomy and defunctioning colostomy performed.SUMMARYThis case history demonstrates the need to use different scanning techniques. Without using supine and erect positions, no comparisons could have been made between the mass in the vulva and buttock and the lower abdominal mass. It was by using these different scanning methods that the protuberance in the buttock and vulva was confirmed as a herniation of the lower abdominal mass.