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Case Reports in Medicine
Volume 2012 (2012), Article ID 651472, 3 pages
http://dx.doi.org/10.1155/2012/651472
Case Report

Sciatic Hernia Mimicking Perianal Abscess in a Cirrhotic Patient

Gastroenterology Department, University of São Paulo School of Medicine, Rua Dr. Enéas de Carvalho Aguiar 255, 9° Andar, Sala 9113/9114, 05403-900 São Paulo, SP, Brazil

Received 1 August 2012; Revised 14 September 2012; Accepted 27 September 2012

Academic Editor: Ahmet Tefekli

Copyright © 2012 Wellington Andraus et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Abdominal hernias are very frequent in cirrhotic patients with ascites. The hernias usually present as umbilical, inguinal, incisional, or femoral. However, these patients can also develop uncommon hernias such as pelvic hernias because of pelvic floor weakness and high abdominal pressure due to ascites. We present the first case of a cirrhotic patient with ascites that developed a giant sciatic hernia mimicking a perianal abscess.