Nigerian Medical Journal

CASE REPORT
Year
: 2014  |  Volume : 55  |  Issue : 3  |  Page : 272--273

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


Eleje George Uchenna1, Okpala Boniface Chukwuneme1, Enendu Stephen Ejike2, Okeke Paul Mbanefo1, Ejikeme Toochukwu Benjamin1 
1 Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra, Nigeria
2 Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra, Nigeria

Correspondence Address:
Eleje George Uchenna
Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, PMB 5025, Nnewi, Anambra State
Nigeria

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 �SQ�Caesarean�SQ� 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.


How to cite this article:
Uchenna EG, Chukwuneme OB, Ejike ES, Mbanefo OP, Benjamin ET. Herniated near-term pregnancy through an incisional hernia treated with polypropylene mesh: A case report.Niger Med J 2014;55:272-273


How to cite this URL:
Uchenna EG, Chukwuneme OB, Ejike ES, Mbanefo OP, Benjamin ET. Herniated near-term pregnancy through an incisional hernia treated with polypropylene mesh: A case report. Niger Med J [serial online] 2014 [cited 2024 Mar 28 ];55:272-273
Available from: https://www.nigeriamedj.com/article.asp?issn=0300-1652;year=2014;volume=55;issue=3;spage=272;epage=273;aulast=Uchenna;type=0