2017
DOI: 10.1002/ccr3.1199
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Incarcerated giant uterine leiomyoma within an incisional hernia: a case report

Abstract: Key Clinical MessageUterine leiomyomas presenting as incarcerated or strangulated hernias in surgical emergencies are extremely rare and should be considered in the differential diagnosis in patients with known uterine fibroids and an irreducible ventral abdominal wall hernia. Detailed history and multidisciplinary approach optimize the diagnosis and decision making toward surgical treatment.

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Cited by 5 publications
(3 citation statements)
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“…A case of huge uterine fibroid occurring with a pedunculated component in an umbilical hernia in a 66year old female was reported in Korea in 2017 [10] . There was also a similar report of incarcerated giant uterine leiomyoma within an incisional hernia in 56-year-old nulliparous woman [11] . Full-term pregnancy was reported in umbilical hernia in Africa [12] .…”
Section: Introductionmentioning
confidence: 52%
“…A case of huge uterine fibroid occurring with a pedunculated component in an umbilical hernia in a 66year old female was reported in Korea in 2017 [10] . There was also a similar report of incarcerated giant uterine leiomyoma within an incisional hernia in 56-year-old nulliparous woman [11] . Full-term pregnancy was reported in umbilical hernia in Africa [12] .…”
Section: Introductionmentioning
confidence: 52%
“…As reported by Fehintola et al [10], the mechanism of incarceration of fibroids in a non-pregnant uterus is difficult to explain and the probable pathophysiological scenario is that the huge leiomyoma can increase the intra-abdominal pressure and can cause incarceration of abdominal viscera into the hernia. Before embarking on surgical exploration, this possibility should be highlighted to the patient and consider hysterectomy and salpingooophorectomy when consenting patients are prudent [11].…”
Section: Discussionmentioning
confidence: 99%
“…The identification of rapidly progressing growing fibroids requires close observational ultrasound examinations. Extremely large myomas can involve serious complications such as respiratory failure due to diaphragmatic compression [ 6 ] or incarcerated abdominal wall hernia [ 7 ].…”
Section: Introductionmentioning
confidence: 99%