Gravid Uterus in an Incisional Hernia

Abstract

A case of gravid uterus in an incisional hernia is reported. The pregnancy was further complicated by intrauterine growth restriction, oligohydramnios and pregnancy induced hypertension. The management of the case is discussed.

Gravid Uterus in Neglected Incisional Hernia with Skin Defect—A Clinical Challenge

“…As the pregnancy progresses the risk of incarceration increases. The enlarged uterus and associated changes in anterior abdominal wall hinder optimal herniorrhaphy [6]. Conservative management with rest, abdominal binder is preferable till full term [1,4,7,8] and hernia repair after delivery is treatment of choice [8].…”

Gravid uterus in an incisional hernia with uterine scar dehiscence: a case report

“…6,7 A literature search revealed only 15 reported cases of anterior abdominal wall hernias complicated by pregnancy. 2,3,5,8,9 Onsets of herniation have been reported from 4 to 8 months of gestational age. 2,4 Full term pregnancy in an anterior abdominal wall incisional hernia is a real obstetric problem.…”

“…3,8,10 Obstetric potential complications like pre-term labor, intra-abdominal growth restriction, accidental hemorrhage, IUFD, rupture of lower uterine segments, dysfunctional labor and PPH can happen, this is a grave condition for the mother and the fetus. 5,9,11 Herniation of gravid uterus in incisional hernia is associated with cesarean section, accounts for 3.1%of all cesarean sections. 2 With rise in rate of Cesarean section world over; there is an increased possibility of developing this complication.…”

“…1,2 Initially these hernias are reducible but as pregnancy advances, they can present with complications such as incarceration, strangulation, skin ulceration, preterm labour, intrauterine growth restriction, intrauterine fetal death and rupture of lower uterine segment. [1][2][3][4][5] We report a case of full term pregnancy in an incisional hernia with uterine scar dehiscence, its clinical presentation, management and review of literature.…”

An Unusual Case of Incisional Hernia

“…Common contents are omentum, transverse colon, loops of small bowel and stomach [1]. Although gravid uterus in an incisionsal hernia has been reported earlier [2], the occurrence of incisional hernia 25 years after laparotomy with a pedunculated fibroid uterus as its content is extremely rare (Fig 1).…”