The labia majora or anus vary in size, soft and non-tender mass

Introduction The intra-abdominal organs are separated from the perineum by the muscles and fascia at the base of the pelvis, called perineal hemia. The perineum is the connection of the ischial nodules on both sides of the soft tissue structure of the closed pelvic outlet below the basin. It will be divided into two triangles: the front is called the urogenital triangle, which is closed for the urogenital tract, the male has the urethra, the female has the urethra and the vagina. Pass, the rear is called the anus triangle, closed for the pot, and the rectum passes. There is a weak point between the pelvic floor appendix and the pubic tail muscle, and most of the ticks pass through this gap. Perineal fistula is a rare abdominal hernia. It occurs mostly in women over 40 years of age. It is related to the deeper rectal fossa of the female than the male and the multiple muscles of the perineal muscle.

Cause

The perineal sputum is induced by factors such as weak pelvic floor muscles, decreased tension, multiple gestational delivery, pelvic tumors and other pelvic pressures.

an examination

Related inspection

Vaginal palpation colposcopy duodenal barium meal angiography

History

Female patients, who have multiple births or diseases that cause increased pelvic pressure, have reversible masses in the labia majora or by the anus. Disappears when lying upright when standing up or when the intra-abdominal pressure increases.

2. Signs

On the side of the labia majora or anus can touch the soft, painless mass, and the abdominal pressure can be positive by the manual resetting impact test.

3. Palpation, ultrasound monitoring, MRI, etc. of the affected area.

Differential diagnosis

Differential diagnosis of large labia majora or anal size, soft and no tenderness mass:

1. Pelvic mass: The pelvic mass is often one of the main complaints for gynecological patients, and it is also a common sign of gynecological pelvic examination. Most of the pelvic masses come from the female genital tract. The mass can be inadvertently discovered by the patient or his family. It can also be diagnosed by urinary difficulties or other diseases due to other symptoms such as pain.

2, vulvar skin swelling: symptoms of swelling of the vulva caused by inflammation or sexually transmitted diseases.

3, fallopian tube mass: gynecological examination in the lower abdomen can often touch one or both sides of the fallopian tube thickening or mass. The quality is both sexy and has a sausage-like shape or irregular shape, with light tenderness and limited activity. The mass is reduced after drainage. After the liquid is accumulated, it increases again.

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