Term Gravid Uterus as a Content of Congenital Umbilical Hernia—A Complication in a Multigravida That Presented in Labour

Abstract

Complications arising from neglected umbilical hernia are not uncommon in pregnancy, more especially in developing countries with characteristically poor health seeking behaviour and less encouraging attitude towards surgical intervention for un-complicated medical conditions. The report is on a 34-year-old para 8 who presented with prolonged labour and an irreducible herniated gravid uterus complicating a neglected congenital umbilical hernia. The patient was resuscitated. She had spontaneous vaginal delivery while preparation was being made for an elective caesarean section.

Term gravid uterus in a congenital umbilical hernia: a case report

“…Umbilical hernia is common among African populations, with an estimated prevalence as high as 15% among pregnant women in West Africa [ 4 ]. Most umbilical hernias in adulthood are congenital and date back to childhood [ 5 ]. We reported a case of congenital umbilical hernia diagnosed first in pregnancy.…”

“…There are sporadic reports of herniation of a gravid uterus through the anterior abdominal wall, and these are largely case reports. Most of the reported umbilical hernias in pregnancy were incisional hernias [ 7 – 10 ], and a few were congenital umbilical hernias [ 5 , 11 ]. None of these cases reported an outcome of the baby also having a congenital umbilical hernia, as was the case with our patient.…”