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- rare
- passes through the lesser sciatic foramen.
- must be distinguished from:
- lipoma or fibro-sarcoma beneath the gluteus maximus
- tuberculous abscess
- gluteal aneurysm
Presentation
- Incarceration or strangulation of the bowel diagnoses the hernia.
Treatment
- Repair is usually made through the abdomen.
- hernia sac and contents are reduced
- weak area closed by making a fascial flap from the superficial fascia
of the piriformis muscle.
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