Incarcerated Gravid Uterus in an Incisional Hernia

Abstract

Incisional hernia of the anterior abdominal wall is common but gravid uterus herniating into the sac is rare. Even rarer is the gravid uterus getting incarcerated in the hernia sac. The authors present an interesting obstetric challenge wherein a 30 year old pregnant lady reported to their antenatal clinic with an unusual bulge in the lower abdomen at the 7th month of pregnancy. This was found to be an incarcerated gravid uterus. It was further complicated by the presence of a trophic ulcer on the skin overlying the uterus. Very few such cases have been reported in literature and each one is a study in itself. The authors would like to share their experience in successfully managing the condition with the assistance of information from the internet and colleagues from across the globe. They will also identify the lessons learnt from this experience.