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Completely Herniated Gravid Uterus with Intrauterine Fetal Death in a Post Caesarean Incisional Hernia: A Case Report

Hamed B, Salama A , Hassan E , Ibrahim A and Abdelhady W

Incisional hernia after caesarean section is not uncommon complication especially in case of inadequate repair of the anterior abdominal wall in the previous caesarean section (CS), also in case of sepsis in the postoperative period. The rising rate of primary CS is considered to be the leading cause of increased trend of incisional hernia following CS. Only about a dozen cases having gravid uterus as a hernial content have been recorded in literature. Paucity of cases has meant that there are no established guidelines for its management, which is totally individualized. We report here a very rare interesting case of large post caesarean incisional hernia with protrusion of the gravid uterus with the fetus dead inside, this patient was unlucky to have medical disorder in the form of primary hyperthyroidism and history of cardiac arrest during the last delivery. A multidisciplinary team was held and termination of pregnancy was done by hysterectomy-in-to and repair of the hernia was done in the same setting.