A Rare Case of Herniation of Gravid Uterus
Keywords:
Herniated Gravid Uterus, Incisional Hernia, Hernia Repair, Caesarean Section,
Abstract
Incisional hernia is a frequent complication of abdominal wall closure and the management of pregnancy with a large incisional hernia with gravid uterus in its sac is challenging and requires a multidisciplinary approach. We report a case of 25yr old manual laborer, gravida 3 Para 1 live 1 abortion 1 who presented with an over distended abdomen and pendulous belly at 38 weeks of gestation. Examination revealed gravid uterus that herniated through the incisional hernia. Multiple erosions with crusting were seen over the abdomen. She subsequently had elective lower segment caesarean section and bilateral tubal ligation with repair of the hernia. She had uneventful post-operative recovery.References
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2. Fullman PM. Incisional hernia containing an incar-cerated twin pregnant uterus. Am J Obstet Gynecol. 1971;111:308-309.
3. Boys CE. Strangulated hernia containing pregnant uterus at term. Am J Obstet Gynecol. 1945;50:450-452.
4. Wolfe WR. Egley CC, Saad EJ, Cusack T. Prefascial marsupialization of the pregnant uterus. Obstet Gynecol. 1988;71:1021-1023.
5. Banerjee N, Deka D, Sinha A, Prasrad R, Takkar D. Gravid uterus in an incisional hernia. J Obstet Gy-naecol Res. 2001;27:77-79.
6. Thomson SW. Two unusual complications of um-bilical hernia in pregnancy. Br Med J. 1962;2:1586.
7. Hassim AM, Khurana KM. Gravid uterus in an um-bilical hernia. Cent Afr J Med. 1967;13:260-261.
8. Adetoro OO, Komolafe F. Gravid uterus in an um-bilical hernia - report of two cases. Cent Afr J Med. 1986;32:248-251.
9. Awojobi OA, Itayemi SO. Abdominal incisional hernia in Ibadan. Trop Doc. 1983;13:112-114.
10. Nagpal M, Kaur S. Herniated pregnant uterus with bleeding from previous abdominal scar. J Obstet Gynaecol India. 2003;53:283.
11. Malhotra M, Sharma JB, Wadhwa L, Arora R. Suc-cessful pregnancy outcome after Cesarean section in a case of gravid uterus growing in an incisional hernia of the anterior abdominal wall. Indian J Med Sci. 2003;57:501-3.
12. Talib A. Majid, Mohanad M. Yassen, Waseem M. Shakir. Shoelace Darn Repair of Abdominal Inci-sional Hernias. The Iraqi Postgraduate Medical Journal. 2006;6(3):198-202.
13. J.Abrahamson, J.Gorman. Pregnancy and ventral hernia repair. Hernia. 2000 Dec;4(4):187-191.
14. Palanivelu C, Rangarajan M, Senthilkumaram S, Parthasarathi R. Safety and efficacy of laparoscopic surgery in pregnancy: Experience of a single institution. J Laparoendosc Adv Surg Tech A. 2007;17:186–90.
Published
2016-01-01
Issue
Section
Case Reports
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