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Incarcerated Gravid Uterus In Ventral Hernia
Sara Qadir1, Sajid Malik2, Nimra Iftikhar1
1Department of Obs & Gynae, Jinnah Hospital Lahore, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|February 27, 2023
Summary
This case report details a rare instance of an incarcerated gravid uterus within a ventral hernia. Conservative management followed by cesarean delivery and hernia repair led to a successful maternal and fetal outcome.
Area of Science:
- Obstetrics and Gynecology
- Abdominal Surgery
Background:
- Incarcerated gravid uterus in ventral hernias is an exceptionally rare obstetric and surgical complication.
- It significantly increases risks for pregnancy-related complications.
Observation:
- A case of incisional hernia containing a gravid uterus presented at 27 weeks with skin ulceration.
- Conservative management with close maternal and fetal monitoring was initiated.
Findings:
- A successful outcome was achieved with a full-term elective lower segment cesarean section (LSCS) followed by open mesh repair.
- Definitive diagnosis and tailored treatment are crucial for reducing severe maternal and fetal complications.
Implications:
- Limited treatment options exist for uterine incarceration into ventral hernias.
- A conservative approach until term, followed by delivery and hernioplasty, is a viable option for uncomplicated cases.
- Individualized management strategies are essential due to the lack of consensus on treating this rare condition.
