Incarceration of a sessile uterine fibroid in an umbilical hernia during pregnancy

BackgroundAnterior abdominal wall fibroid are uncommon and could be a cause of pain and discomfort. Very few cases have been reported in the literature but none in our region.Case presentationWe present an uncommon case of a 31 year old para 2+2 trader from the Itsekiri tribe of the Niger Delta region of Nigeria who presented with a one year history of a periumbilcal mass, had surgical removal of the mass and histology revealed leiomyoma.ConclusionAbdominal wall fibroid is a good differential diagnosis to be considered in any woman of reproductive age with an anterior abdominal mass and previous uterine surgery, including laparoscopic surgeries.

show abstract

“…Incarceration of a sessile uterine fibroid in an umbilical hernia during pregnancy has been described [3]. …”

Section: Discussionmentioning

confidence: 99%

Solitary anterior abdominal wall leiomyoma in a 31-year-old multipara woman: a case report

et al. 2009

View full text Add to dashboard Cite

show abstract

“…A fibroid uterus is typically too small to reach the level of the umbilicus, and the intra-abdominal pressure is too low to cause herniation. Consequently, all reported cases of incarceration of an umbilical hernia occurred during pregnancy, especially in the third trimester, after 28 weeks of gestation [1267]. In the current case, the uterus was enlarged (2.75 kg) and exceeded the level of the umbilicus because of a huge fibroid, which was sufficient to cause herniation.…”

Section: Discussionmentioning

confidence: 73%

“…Incarceration of uterine fibroids in an umbilical hernia is a rare complication that has mostly been reported in pregnant women (Table 1) [1267]. In 1999, the first case of pedunculated fibroid incarceration in an umbilical hernia in a pregnant woman was reported [6].…”

Section: Discussionmentioning

confidence: 99%

“…Unless the fibroids cause symptoms or grow rapidly within a few months, they be may be managed conservatively [5]. However, several reports have described incarceration of a fibroid in an umbilical hernia, particularly during pregnancy [4567]. Here, we report a rare case of a fibroid presenting as an incarcerated umbilical hernia in a menopausal woman.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incarceration of a pedunculated uterine fibroid in an umbilical hernia

2017

View full text Add to dashboard Cite

Uterine fibroids are common benign tumors that may cause an umbilical hernia in patients with increased intra-abdominal pressure due to pregnancy, obesity, ascites, and intra-abdominal tumors. However, the simultaneous occurrence of uterine fibroids and umbilical hernias, or fibroids and an associated umbilical hernia, during pregnancy has rarely been reported. Here, we present the case of a fibroid presenting as an incarcerated umbilical hernia in a menopausal patient.

show abstract

“…These include bowel contents such as Meckel's diverticulum and an appendix, a bladder, and contents of the reproductive system such as uterine fibroids, a giant ovarian tumour and even a gravid uterus. [4][5][6][7] Another phenomenon known as Sister Mary Joseph's nodule is the presence of a periumbilical mass from metastatic intra-abdominal or pelvic malignancy. 8 One case series also found umbilical hernia and ascites to be presenting symptoms of ovarian malignancy.…”

Section: Discussionmentioning

confidence: 99%

An ovary as unusual contents of an incarcerated umbilical hernia

Ahmed

Kamat

et al. 2014

annals

View full text Add to dashboard Cite

We present the unusual case of a woman presenting with an incarcerated umbilical hernia. Intraoperatively, the contents of the hernia were found to be an ovary. We outline the clinical presentation of our patient, investigations and management as well as a discussion on unusual contents of umbilical hernias. To our knowledge, this is the first case of a non-malignant ovary incarcerated in an umbilical hernia. KEYWORDSHernia -Umbilicus -Surgical mesh -Ovary Accepted 6 September 2013; published online XXX CORRESPONDENCE TO Usama Ahmed, E: usama.x@hotmail.fr Umbilical hernias are common, occurring in 10% of all infants.1 In adults, however, they often represent an acquired defect, possibly related to intra-abdominal pathology. We present our own experience of unusual contents of an umbilical hernia, its management and a brief literature review. Case HistoryA 45-year-old nulliparous woman of Zimbabwean origin presented to our emergency department complaining of a 5-day history of an increasingly tender, swollen, irreducible mass at the umbilicus. On further enquiry, it transpired that this previously reducible mass had been present for approximately one year's duration, tender during her periods but otherwise asymptomatic. She reported regular, heavy periods with clots and flooding, and denied possible pregnancy. Her only past medical history was of a myomectomy for a uterine fibroid 11 years earlier. She denied a previous history of a childhood umbilical hernia. On systems review, she had no weight loss or loss of appetite. She had been opening her bowels normally, had not vomited, and was eating and drinking normally. On examination, the patient was haemodynamically stable and clinically well. Her abdomen was distended and a tense umbilical mass visible with overlying inflammatory hyperpigmented skin changes. Palpation of the abdomen revealed a tender, irreducible umbilical mass with a negative cough impulse. Abdominal ascites were absent. An irregularly contoured, 20-week sized fibroid uterus reaching the umbilicus and more palpable in the right abdomen was discovered.Blood tests revealed raised inflammatory markers and severe anaemia. The patient was transfused with two units of blood preoperatively and iron supplements were commenced. Erect abdominal radiography revealed no acute obstruction or perforation.Our main differential diagnosis was that of an incarcerated umbilical hernia with a differential of an abscess. The patient was consented for repair of umbilical hernia and operated on later that evening. A curvilinear subumbilical incision was used to approach the hernia. A true umbilical hernia coming through the umbilical stalk was visualised. The hernial sac was opened at the neck to reveal an ovary (Fig 1). The ovary was seen to be viable and so reduced through the defect. The defect was closed with an onlay polypropylene mesh and a suction drain left in situ. Postoperative ultrasonography showed multiple uterine fibroids with the largest measuring 8.6cm in diameter (Fig 2). The patient was disch...

show abstract

Incarceration of a sessile uterine fibroid in an umbilical hernia during pregnancy

Cited by 12 publications

References 5 publications

Solitary anterior abdominal wall leiomyoma in a 31-year-old multipara woman: a case report

Solitary anterior abdominal wall leiomyoma in a 31-year-old multipara woman: a case report

Incarceration of a pedunculated uterine fibroid in an umbilical hernia

An ovary as unusual contents of an incarcerated umbilical hernia

Contact Info

Product

Resources

About