Young Brett C, Fugelso Dana, Takoudes Tamara
Obstetrics and Gynecology Department, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Arch Gynecol Obstet. 2009 Jun;279(6):905-7. doi: 10.1007/s00404-008-0810-5. Epub 2008 Oct 11.
Hernias commonly coexist with pregnancy; however, an incarcerated hernia with bowel obstruction is rare at advanced gestation and requires urgent intervention.
A multiparous woman with a known large incisional hernia presented at 33 weeks and 5 days gestational age with acute-onset, upper abdominal pain and nausea. The patient was diagnosed with small bowel obstruction secondary to an incarcerated hernia. She was managed with serial abdominal exams until her repeat cesarean section and simultaneous hernia repair were performed 24 h after admission and betamethasone administration. The patient and infant did well postoperatively.
Bowel incarceration through an incisional hernia can occur during pregnancy and result in favorable maternal and neonatal outcomes with simultaneous delivery and surgical repair.
疝气常与妊娠并存；然而，妊娠晚期发生嵌顿性疝气伴肠梗阻的情况罕见，需要紧急干预。
一名有已知大型切口疝的经产妇，孕33周5天时出现急性上腹部疼痛和恶心。患者被诊断为嵌顿性疝气继发小肠梗阻。在入院并给予倍他米松后24小时，对其进行连续腹部检查，直至进行再次剖宫产及同时进行疝气修补术。患者和婴儿术后情况良好。
妊娠期间可发生经切口疝的肠管嵌顿，同时进行分娩和手术修补可取得良好的母婴结局。
