Abstract
Background
To demonstrate the pelvic peritoneal recesses during voiding, evacuation proctography was combined with positive contrast peritoneography.
Methods
In 30 constipated patients, peritoneography was performed, followed by proctography.
Results
During evacuation rectogenital herniation developed in 20 patients (66%), without visceral filling in 12 (40%).
Conclusions
Posterior pelvic floor hernia is common during defecation. Less than half fill with bowel and many may not be apparent on standard proctography.
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References
Wallden L. Roetgen examination of the deep rectogenital pouch.Acta Radiol 1953;39:105–116
Hudson CM. Female genital prolapse and pelvic floor deficiency.Int J Colored Dis 1988;3:181–185
Hock D, Lombard R, Jehaes C, et al. Colpocystodefecography.Dis Colon Rectum 1993;36:1015–1021
Wiersma TG. Dynamic rectal examination: clinico-radiological correlation. Thesis, University of Utrecht, Netherlands, 1994
Ekberg O. Inguinal herniography in adults: normal anatomy and diagnostic criteria for hernias.Radiology 1981;138:31–36
McGee S, Bartram CI. Intra-anal intussusception: diagnosis by posteroanterior stress proctography.Abdom Imaging 1993;2:136–140
Meyers M. Peritoneography: normal and pathological anatomy.Am J Radiol 1973;117:353–365
Gullmo A. Herniography. The diagnosis of hernia in the groin and incompetence of the pouch of Douglas and the pelvic floor.Acta Radiol 1980;361 (Suppl):1–76
Kjellberg SR. Hystero-salpingo-pelvigraphie.Acta Radiol 1942: (Suppl 43)
Ekberg O, Abrahamsson PA, Kesek P. Inguinal herniography in urological patients: the value of herniography.J Urol 1988;139:1253–1255
Margulis A, Cook G, Tucker G. Celiography with iothalamic acid.Am J Radiol 1963;90:723–726
McAlister W, Shackleford G, Kissane J. The histologic effects of some iodine-containing contrast media on the rat peritoneal cavty.Radiology 1972;105:581–582
Sternhill V, Schwartz S. Effect of Hypaque on mouse peritoneum.Radiology 1960;42:811–814
Ekberg O. Complications after herniography in adults.Am J Radiol 1983;140:491–495
Hall C, Hall P, Wingate J, Neoptolemos J. Evaluation of herniogaphy in the diagnosis of an occult abdominal wall hernia in symptomatic adults.Br J Surg 1990;77:902–906
Ekberg O, Nilsson PE. Herniography: comparison of morbidity and image quality after use of high and low osmolality contrast media.Invest Radiol 1986;21:404–407
Kelvin FM, Maglinte DDT, Hornback JA, Benson JT. Pelvic prolapse: assessment with evacuation proctography (defecography).Radiology 1992;184:547–551
Wallden L. Defecation block in cases of deep rectogenital pouch.Acta Chir Scand 1952; (Suppl 165):35–60
Shorvon P, McHugh S, Diamant N, Somers S, Stevenson G. Defecography in normal volunteers: results and implications.Gut 1989;30:1737–1749
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Halligan, S., Bartram, C.I. Evacuation proctography combined with positive contrast peritoneography to demonstrate pelvic floor hernias. Abdom Imaging 20, 442–445 (1995). https://doi.org/10.1007/BF01213267
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DOI: https://doi.org/10.1007/BF01213267