Department of Obs & Gynae, Jinnah Hospital Lahore, Pakistan.
Department of Surgery, Jinnah Hospital Lahore, Pakistan.
J Ayub Med Coll Abbottabad. 2023 Feb-Mar;35(1):169-173. doi: 10.55519/JAMC-01-11054.
Incarcerated gravid uterus for in ventral hernia is an extremely rare obstetrical and surgical problem which contributes to pregnancy related complications. We searched for literature to identify aetiology, presentation, complications, and management options for incarcerated gravid uterus, and are presenting this case with literature review. This extremely rare case report, first ever from Pakistan, of an incisional hernia containing gravid uterus as its contents and is bulging out of abdominal cavity. She presented at 27 weeks with ulceration of ventral hernia skin. She was offered a conservative treatment keeping in view maternal and foetal monitoring until term. A full-term elective lower segment caesarean section (LSCS) followed by open mesh repair was done. A successful outcome was observed. There are limited treatment options for uterine incarceration into ventral hernia, but definitive diagnosis allows procedures to treat and to reduce severe maternal and foetal complications. There is no consensus over the management of this rare condition. A tailor approach should be opted in each case. If uncomplicated, a conservative approach until term followed by delivery or LSCS and hernioplasty is a good option.
陷在腹疝中的妊娠子宫是一种极其罕见的产科和外科问题，会导致与妊娠相关的并发症。我们检索了文献，以确定陷在腹疝中的妊娠子宫的病因、表现、并发症和处理选择，并结合文献复习对此病例进行了报告。这是来自巴基斯坦的首例切口疝包含妊娠子宫并从腹腔突出的极罕见病例报告。她在 27 周时出现腹疝皮肤溃疡。考虑到母婴监测，她接受了保守治疗直至足月。随后进行了择期的经阴道下段剖宫产术（LSCS）和开放式网片修补术。观察到了良好的结果。陷在腹疝中的子宫的治疗选择有限，但明确的诊断允许进行治疗并降低严重的母婴并发症。对于这种罕见情况，没有共识的处理方法。应该在每个病例中选择个体化的方法。如果没有并发症，可以采用保守治疗直至足月，然后进行分娩或 LSCS 以及疝修补术，这是一个不错的选择。
