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Open AccessCase Report

Four Cases of Perineal Groove—Experience of a Greek Maternity Hospital

1
Neonatal Department, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece
2
Neonatal Intensive Care Unit, “Agios Panteleimon”, General Hospital of Nikaia, 18454 Piraeus, Greece
3
Pediatric Clinic, “Agios Panteleimon” General Hospital of Nikaia, 18454 Piraeus, Greece
4
Department of Pediatric Surgery, “Attikon” Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Medicina 2019, 55(8), 488; https://doi.org/10.3390/medicina55080488
Received: 21 June 2019 / Revised: 5 August 2019 / Accepted: 13 August 2019 / Published: 15 August 2019
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Abstract

Perineal groove is a well-defined clinical entity that belongs to a broader group of anorectal malformations. It is characterized by a non-epithelialized mucous membrane that appears as an erythematous sulcus in the perineal midline, extending from the posterior vaginal fourchette to the anterior anal orifice. The defect is gradually cicatrized, unless there are complications like infection, defecation disorders, trauma, and bleeding. The differential diagnosis includes several other conditions like trauma, infection, irritant dermatitis, lichen sclerosis, and ulcerated hemangioma. Since it is a rare malformation, it is often misdiagnosed and its presence often elicits unnecessary diagnostic workup and intervention. In this respect, neonatologists, dermatologists, or pediatric surgeons may under- or overestimate it. We report four cases of perineal groove out of 2250 live births at a Greek Maternity Hospital between September 2016 and April 2019. The “high” incidence of perineal groove cases in our Department allowed us to familiarize with this rare defect and minimize our clinical interventions. View Full-Text
Keywords: perineal groove; neonate; anorectal malformations; perineum; gestation perineal groove; neonate; anorectal malformations; perineum; gestation
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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, 488.

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