Perineal Groove: A Rare Perineal Malformation

Main Article Content

Omar Abdulqader Ajaj

Abstract

Aim: To our knowledge, there is no published large-scale clinical trial on the congenital perineal groove, there are few cases were published in the literatures. This case report describes a 1 year-old female infant with complains of the perineal wet sulcus (like fresh wound), the perineal sulcus was found to be extended from valvular genitalia to the anal opening. The mother noticed this groove at the age of one month.

Presentation of Case: The infant was seen by many doctors, medication were administered but no improvement. A local  examination of the infant revealed an abnormal wet defect, non tender, about 1.5cm in the perineal area, red in color and extended vertically from valvular genital anteriorly to the anal  orifice posteriorly. The physical examination revealed a congenital perineal groove. After counselling of the parents, surgical excision has been done, due to repeated infection, persistent mucus discharge, and cosmetic purpose. No any complications or recurrence. Perineal groove is a rare entity. It seems to be extended vertically from the vaginal fourchette anteriorly to the anal opening posteriorly. The diagnosis of the defect is set mainly on the clinical assessment of the lesion. In most of cases, the defects are treated conservatively with some indications for surgical intervention.

Conclusion: The defect usually treated conservatively, but repeated infection, persistent mucus discharge, and cosmetic purpose are good indications for surgical intervention. The perineal groove should be one of differential diagnosis of perineal anomalies.

Keywords:
Perineum, groove, infant, congental anomaly.

Article Details

How to Cite
Ajaj, O. A. (2020). Perineal Groove: A Rare Perineal Malformation. Asian Research Journal of Gynaecology and Obstetrics, 4(1), 9-12. Retrieved from https://journalarjgo.com/index.php/ARJGO/article/view/30129
Section
Case Study

References

Harsono M, Pourcyrous M. Perineal groove: A rare congenital midline defect of perineum: American Journal of Perinatology Reports. 2016;6(01):30-32.‏

DOI: 10.1055/s-0035-1566311

Tambe S, Kernland L, Saple D. Perineal groove: A rare anogenital anomaly: Eur. J. Pediat. Dermatol. 2015;25:16-19.

Diaz L, Levy ML, Kalajian A, Metry D. Perineal groove: A report of 2 cases. Jama Dermatology. 2014;150(1):101-2.

DOI: 10.1001/jamadermatol.2013.4613

Chatterjee SK, Chatterjee US, Chatterjee U. Perineal groove with penoscrotal hypospadias. Pediatric Surgery Inter-national. 2003;19(7):554-6.

DOI: 10.1007/s00383-003-0975-8

Aslan A, Karagüzel G, Mıhcı E, Melikoğlu M. Currarino syndrome associated with penoscrotal inversion and perineal fissure. Pediatric Surgery International. 2005;21(9): 733-5.

DOI: 10.1007/s00383-005-1464-z

Cheng H, Wang Z, Zhao Q, Zhu H, Xu T. Perineal groove: Report of two cases and review of the literature. Frontiers in Pediatrics. 2018;6:227.

DOI: 10.3389/fped.2018.00227

Boutsikou T, Mougiou V, Sokou R, Kollia M, Kafalidis G, Iliodromiti Z, Salakos C, Iacovidou N. Four cases of perineal groove—Experience of a Greek maternity hospital. Medicina. 2019;55(8):488.

DOI: 10.3390/medicina55080488

Granillo SF, Garone A, Molina TL, Luty G, Bello C, et al. Perineal groove: Report of three cases. J Dermatitis. 2018;3:111.

Sekaran P, Shawis R. Perineal groove: A rare congenital abnormality of failure of fusion of the perineal raphe and discussion of its embryological origin. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 2009;22(7):823-5.

DOI: 10.1002/ca.20855

Garcia‐Palacios M, Mendez‐Gallart R, Cortizo‐Vazquez J, Rodriguez‐Barca P, Estevez‐Martinez E, Bautista‐Casasnovas A. Perineal groove in female infants: A case series and literature review. Pediatric Dermatology. 2017;34(6):677-80.

DOI: 10.1111/pde.13311

Hegazy A. Clinical Embryology for medical students and postgraduate doctors. LAP: Lambert Academic Publishing, Berlin; 2014.

Esposito C, Giurin I, Savanelli A, Alicchio F, Settimi A. Current trends in the management of pediatric patients with perineal groove. Journal of Pediatric and Adolescent Gynecology. 2011;24(5): 263-5.

DOI: 10.1016/j.jpag.2011.02.011