Gravid uterus in an incisional hernia with uterine scar dehiscence: a case report
Keywords:
Pregnancy, Incisional hernia, Caesarean section, Uterus, Scar dehiscence, Skin ulcerationAbstract
Full term pregnancy in an incisional hernia of the anterior abdominal wall is rare and a serious condition. Initially the hernia is reducible, but as pregnancy advances, it may be complicated by skin ulcerations, incarceration and subsequent strangulation within the hernia sac. Potentially grave obstetric complications such as preterm labour, accidental hemorrhage, intrauterine growth restriction, intrauterine fetal death, scar dehiscence and rupture of the lower uterine scar can occur. We report a case of full term pregnancy in an incisional hernia with uterine scar dehiscence, its clinical course, management and review of literature.
Metrics
References
Sahu L, Bupathy A. Evisceration of pregnant uterus through the incisional hernia site. J Obstet Gynaecol Res 2006;32:338–40.
Saha PK, Rohilla M, Dahiwal LK, Gupta I. Herniation of Gravid Uterus: Report of 2 Cases and Review Literature. Medscape General Medicine 2006;8:14.
Malhotra M, Sharma JB, Wadhwa L, Arora R. Successful pregnancy outcome of 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.
Modi JN., Bharadwaj, M., Kalra, R., & Mhaske AN. Incarcerated Gravid Uterus in an Incisional Hernia. International Journal of User-Driven Healthcare 2012;2: 5-13.
Banerjee N, Deka D, Sinha A, Prasrad R, Takkar D. Gravid uterus in an incisional hernia. J ObstetGynaecol Res 2001;27:77–9.
Dare FO, Makinde OO, Lawal OO. Gravid uterus in abdominal wall hernia of a Nigerian woman. Int J Obstet Gynecol 1990;32:377–79.
Thomson SW. Two unusual complications of umbilical hernia in pregnancy. Br Med J 1962;2:1586.
Nagpal M, Kaur S. Herniated pregnant uterus with bleeding from previous abdominal scar. J Obstet Gynaecol India 2003;53:283.
Deka D, Banerjee N, Takkar D. Incarcerated pregnant uterus in an incisional hernia. International Journal of Gynecology& Obstetrics 2000;3:377-79.
Ray KK, Aggarwal S, Banerjee K, Karan S, Charu C. Gravid uterus in an incisional hernia leading to burst abdomen. Internet J Gynecol Obstet 2005;5:2.
Palazzo F, Ragazzi S, Ferrara D, Piazza D. Herniated gravid uterus through an incisional hernia treated with the component separation technique. Hernia. 2010; 14:101-4.