Medical Case Reports

An Incarcerated Hernia Complicated by Intestinal Obstruction during Pregnancy - A Case Report

Context: Hernias generally coexist with pregnancy; however, an incarcerated hernia with intestinal obstruction is rare at an advanced stage of gestation and requires urgent intervention.

Case report: A multiparous woman with a known large incisal hernia presented at 18 weeks and 5 days of gestational age and prior to laparotomy 10 years ago The patient was diagnosed with intestinal obstruction secondary to an incarcerated hernia with complete occlusive syndrome caused by the cessation of materials and gases, nausea, vomiting and severe abdominal pain. She underwent betamimetics tocolysis throughout the clinical and therapeutic process, before during and after surgery. An obstetric ultrasound done 72 hours after surgery confirms the vitality of the fetus.

Conclusion: Intestinal incarceration by incisional hernia can occur during pregnancy and lead to favorable maternal and neonatal results.

Author(s):

Aliou Diouf* , Abdourahmane Ndong , Ousmane Thiam , Mamour Guèye , Mame Diarra Guèye , Djibril Bahaid Sow , Cherif Tourad Sarr and Ibrahima Konaté

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