Spontaneous rupture of incisional hernia associated with pregnancy

De, Utpal; Ray, Ramdip

doi:10.1111/j.1744-1633.2008.00408.x

Cited by 3 publications

(8 citation statements)

References 6 publications

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“…Occasionally, they do become real obstetric problems if complications like incarceration, strangulation or spontaneous rupture occurs. [2][3][4][5] These complications can result in miscarriage, preterm delivery and increased maternal and perinatal morbidity. 6 The risk factors for incisional hernia may be from the surgeon or the patient.…”

Section: Discussionmentioning

confidence: 99%

“…The patients' risk factors include obesity, wound infection, poor nutritional status, anaemia and post-operative chest infection. 2,3,5 The surgeons' factors include emergency procedures, midline vertical incisions, poor surgical technique and the use of inappropriate suture material to close the rectus sheath. 3,5,8 There were a combination of these factors in the patient under review.…”

Section: Discussionmentioning

confidence: 99%

“…However in case of complications, emergency repair is inevitable irrespective of gestational age. [2][3][4][5] For elective repair in pregnancy, the first and third trimesters are usually avoided with most favouring second trimester. 6,7 Repair in pregnancy may be complicated by miscarriages, preterm labour and delivery, increase operative intervention, haemorrhage and increased perinatal morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

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Incisional Hernia in Pregnancy a Silent but Potential Fatality – Case Report

2020

AJSRR

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Rupture of incisional hernia, with consequent emergency laparotomy and repair, is an uncommon complication of pregnancy. The risk to the mother and baby is enormous. We present an unbooked 29 year old G4P2+1 (1-alive) with one previous caesarean section at 29 weeks of gestation. She had a huge anterior abdominal wall incisional hernia with gravid uterus as content. She was admitted on conservative management on account of abdominal pain and preterm contractions, but subsequently developed spontaneous rupture from an ulcer with bowel evisceration. She had emergency laparotomy and repair but unfortunately had unavoidable bowels injury as they were morbidly adherent to the anterior abdominal wall with injury necessitating resection and re-anastomosis with caesarean section. The neonate suffered early neonatal death. The presence of ulceration may be a predictor of adverse maternal and foetal outcome

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incisional Hernia in Pregnancy a Silent but Potential Fatality – Case Report

2020

AJSRR

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“…Occasionally, they do become genuine obstetric problem if complications such as hernia result leading to incarceration, strangulation or spontaneous rupture 1,2,3…”

Section: Discussionmentioning

confidence: 99%

“…Occasionally, they do become genuine obstetric problem if complications such as hernia result leading to incarceration, strangulation or spontaneous rupture. 1 , 2 , 3 A number of factors may contribute to its rarity in pregnancy. By the time the uterus reaches the level of hernial aperture, it is usually too large to enter the hernial sac and subsequently will not be noticed.…”

Section: Discussionmentioning

confidence: 99%

Herniated near-term pregnancy through an incisional hernia treated with polypropylene mesh: A case report

et al. 2014

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The management of a large incisional hernia amidst gravid uterus in its sac is a very challenging obstetric entity. Because of the uncommonness of this entity, there has not been any evidence-based guideline regarding the optimal mode of treatment and so treatment is largely individualised. We present the case of a 32-year-old booked G7P6+0 Nigerian woman with two living children who was already booked for elective repeat lower segment Caesarean section (CS) and ‘Caesarean’ herniorrhaphy at 38 weeks of gestation but only to present at 36-weeks gestation with a 4-hour history of labour pains. She had an emergency lower segment CS 2 years earlier due to obstructed labour but the CS was complicated by wound infection. Examination revealed gravid uterus that herniated through the incisional hernia. She subsequently had emergency lower segment CS with the repair of the hernia with polypropylene mesh. She had uneventful post-operative recovery. Herniated uterus of near-term pregnancy through an incisional hernia has not been reported in our hospital. As in our case, triumphant management required brave but multidisciplinary approach and currently there are emerging management options such as the use of mesh and laparoscopic technique.

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Breaking Bad: Spontaneous Rupture of Incisional Hernia

Ahmad,

et al. 2024

Cureus

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Spontaneous bowel evisceration from a ruptured, long-standing abdominal wall hernia is a very rare complication with significant morbidity and mortality, usually occurring in incisional or recurrent groin hernias. In this case report, we elucidate an unexpected scenario of spontaneous incisional hernia rupture leading to bowel evisceration, detailing the clinical presentation, diagnostic workup, and surgical management. By highlighting this rare complication, we emphasise the significance of vigilance in monitoring hernia patients and the necessity of expedited surgical intervention to prevent complications, optimise outcomes, and minimise morbidity.

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Spontaneous rupture of incisional hernia associated with pregnancy

Abstract: Incisional hernia following Caesarean section is a common clinical entity with numerous complications. We report a rare case of spontaneous rupture of incisional hernia associated with pregnancy.

Cited by 3 publications

References 6 publications

Incisional Hernia in Pregnancy a Silent but Potential Fatality – Case Report

Incisional Hernia in Pregnancy a Silent but Potential Fatality – Case Report

Herniated near-term pregnancy through an incisional hernia treated with polypropylene mesh: A case report

Breaking Bad: Spontaneous Rupture of Incisional Hernia

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