Incarceration of sessile uterine fibroids in an incisional hernia in a postmenopausal woman: a case report

A case report of a rare case of uterine fibroid herniating as recurrent incisional hernia

“…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].…”

Incarcerated giant uterine leiomyoma within an incisional hernia: a case report

“…Obviously, small bowel loops and the large leiomyoma were alternating into the hernia sac, causing intermittent abdominal pain and discomfort. As reported by Fehintola et al , the mechanism of incarceration of fibroids in a nonpregnant uterus is difficult to explain and the probable pathophysiological scenario is that the huge leiomyoma increased the intra‐abdominal pressure and caused incarceration of abdominal viscera into the hernia. Large smooth masses in women, in the absence of history of known malignancy, can be originating from the female genitalia.…”

Large umbilical hernia complicating huge uterine fibroid: Case report in a tertiary hospital in Port Harcourt, Nigeria

“…In Nigeria, massive ascites complicating huge uterine fibroid [14] , large uterine fibroid in pregnancy with successful Caesarean section [15] , incarceration of sessile uterine fibroid in incisional hernia [16] , and successful pregnancy after surgery for giant uterine fibroid have all been reported [17] . Huge uterine fibroid mimicking feature of malignancy was reported in 2021 in Port Harcourt [18] , but we have not seen a co-existence of uterine fibroid with a large umbilical hernia in our practice hence this documentation.…”