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Full-term pregnancy in umbilical hernia.

Damien Punguyire1, Kenneth V Iserson, Stephen Apanga

  • 1Kintampo Municipal Hospital Kintampo, Ghana Kintampo Health Research Centre Kintampo, Ghana.

The Pan African Medical Journal
|November 29, 2011
PubMed
Summary

Pregnancy can occur within large umbilical hernias, even in resource-limited settings. This case highlights successful management and outcomes for gravid uterine incarceration in an umbilical hernia.

Keywords:
Cesarean sectionPregnancy complicationsgrand multiparityumbilical herniaventral hernia

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Case Reports

Background:

  • Umbilical hernias are common during pregnancy.
  • Uterine or fibroid incarceration in ventral hernias during pregnancy is rare, typically associated with prior abdominal surgery.
  • No prior reports exist of gravid uterine incarceration specifically within an umbilical hernia.

Observation:

  • A case of a 42-year-old grand multiparous woman (G8P7) at 38 weeks gestation presented with a huge umbilical hernia.
  • The umbilical hernia contained the gravid uterus.

Findings:

  • The patient's umbilical hernia contained a 38-week gravid uterus.
  • Management focused on avoiding complications seen in similar incisional hernia cases.
  • Successful pregnancy outcome was achieved.

Implications:

  • Pregnancy within ventral hernias, including umbilical hernias, can have successful outcomes.
  • This is possible even in resource-poor settings with Cesarean section capabilities.
  • Highlights the importance of careful management in rare hernia-pregnancy complications.