Hernias of the pelvic wall

Abstract

There are several large openings in the bony pelvic girdle, including its floor that can allow for intestine or viscera to pass through and develop a hernia. However, the near vertical walls of the pelvis mitigate against the development of hernia-mitigate-but not completely deny hernia formation. Although rare, hernias of the deep pelvic structures can occur and cause debilitating symptoms. Unfortunately, physicians often ignore these symptoms because hernias in the pelvic areas are difficult to see and to palpate. For the most part, pelvic wall hernia is not even considered in females with vague abdominal or pelvic symptoms. Nonetheless, general surgeons need a thorough knowledge of pelvic anatomy, particularly, potential hernia sites in women, to avoid inadequate diagnostic workup and examination. Patients, usually older female patients, suffer the consequences of our inattention.