Skip to main content
Top
Published in: Gynecological Surgery 2/2016

01-05-2016 | Original Article

Incarceration of sessile uterine fibroids in an incisional hernia in a postmenopausal woman: a case report

Authors: Akintunde O. Fehintola, Olusayo I. Amole, Ayotunde O. Ogunlaja, Olufemi T. Awotunde, Olurotimi I. Aaron, B. Bakare, Adewumi O. Durodola, Gbemi H. Ano-Edward

Published in: Gynecological Surgery | Issue 2/2016

Login to get access

Abstract

Incarceration of sessile fibroids in an incisional hernia is uncommon and can cause pain and discomfort. Very few cases have been reported in the literature but none in our region in women in the postmenopausal period. We present an uncommon case of a 57-year-old primipara with a previous history of caesarean section and a laparotomy on account of adhesive intestinal obstruction. She presented with lower abdominal swelling and abdominal pain since 7 years. She had surgical removal of the mass and total abdominal hysterectomy with mesh repair of the incisional hernia. Histology of the resected hernia content revealed leiomyoma. Abdominal wall fibroid is a good differential diagnosis to be considered in any woman with an anterior abdominal mass and previous uterine surgery, including caesarean section.
Appendix
Available only for authorised users
Literature
1.
go back to reference Abrahamson J. Hernias in Micheal J. Zinner, Seymour I. Schwartz, Harold Ellis (editors). In Maingot’s, abdominal operations vol I, 10th ed. Appleton and Lounge, 1997,548–72. Abrahamson J. Hernias in Micheal J. Zinner, Seymour I. Schwartz, Harold Ellis (editors). In Maingot’s, abdominal operations vol I, 10th ed. Appleton and Lounge, 1997,548–72.
2.
go back to reference Banerjee N, Deka D, Sinha A (2001) Gravid uterus in an incisional hernia. Gynaecol Res 27(2):77–79CrossRef Banerjee N, Deka D, Sinha A (2001) Gravid uterus in an incisional hernia. Gynaecol Res 27(2):77–79CrossRef
3.
go back to reference Stoppa R. Hernia of the abdominal wall. In: Chevrel JP (ed). Surgery of the abdominal wall. Berline: Springer-Verlag 1987:55–60. Stoppa R. Hernia of the abdominal wall. In: Chevrel JP (ed). Surgery of the abdominal wall. Berline: Springer-Verlag 1987:55–60.
4.
go back to reference Boughey JC, Nottingham JM (2002) Massive incisional hernia of the bowel and urinary bladder: a case report. Am Surg 68(10):892–894PubMed Boughey JC, Nottingham JM (2002) Massive incisional hernia of the bowel and urinary bladder: a case report. Am Surg 68(10):892–894PubMed
5.
go back to reference Abrahamason J, Elder S (1988) ‘Shoelace’ repair of large post operative ventral abdominal hernias: a simple extra peritoneal technique. Contemp Surg 33:24–30 Abrahamason J, Elder S (1988) ‘Shoelace’ repair of large post operative ventral abdominal hernias: a simple extra peritoneal technique. Contemp Surg 33:24–30
6.
7.
go back to reference Abrahamson J, Gorman J (2000) Pregnancy and ventral hernia repair. Hernia 4:187–191CrossRef Abrahamson J, Gorman J (2000) Pregnancy and ventral hernia repair. Hernia 4:187–191CrossRef
8.
go back to reference Kurzer M, Belsham PA, Kark AE (2004) Tension-free mesh repair of umbilical hernia as a day case using local anaesthesia. Hernia 8:104–107CrossRefPubMed Kurzer M, Belsham PA, Kark AE (2004) Tension-free mesh repair of umbilical hernia as a day case using local anaesthesia. Hernia 8:104–107CrossRefPubMed
9.
go back to reference Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R (2001) Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 88:1321–1323CrossRefPubMed Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R (2001) Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 88:1321–1323CrossRefPubMed
10.
go back to reference Schumacher OP, Peiper C, Lorken M, Schumpelick V (2003) Long-term results after Spitzy’s umbilical hernia repair. Chirurgia 74:50–54CrossRef Schumacher OP, Peiper C, Lorken M, Schumpelick V (2003) Long-term results after Spitzy’s umbilical hernia repair. Chirurgia 74:50–54CrossRef
Metadata
Title
Incarceration of sessile uterine fibroids in an incisional hernia in a postmenopausal woman: a case report
Authors
Akintunde O. Fehintola
Olusayo I. Amole
Ayotunde O. Ogunlaja
Olufemi T. Awotunde
Olurotimi I. Aaron
B. Bakare
Adewumi O. Durodola
Gbemi H. Ano-Edward
Publication date
01-05-2016
Publisher
Springer Berlin Heidelberg
Published in
Gynecological Surgery / Issue 2/2016
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI
https://doi.org/10.1007/s10397-015-0924-2

Other articles of this Issue 2/2016

Gynecological Surgery 2/2016 Go to the issue