Incarceration of a sessile uterine fibroid in an umbilical hernia during pregnancy.
On rare occasions, uterine fibroids complicate pregnancy. More commonly, fibroids exert a mass effect that either prevents implantation of an egg or becomes problematic as a fetus grows. Less frequently, pregnancies are affected by fibroid herniation through a fascial defect. Several publications describing herniation of pedunculated fibroids exist, two of which were in umbilical hernia sacs. There is, to our knowledge, only one publication describing the presence of a sessile uterine fibroid in an umbilical hernia. This case report adds to the literature by describing a 34-year-old primigravid woman with an umbilical hernia that contained a sessile uterine fibroid and provides parameters that can be used in the initial evaluation of a pregnant woman with an abdominal wall hernia.
Seims
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AD
Orlando Health, 86 West Underwood, Suite 201, Orlando, FL 32806, USA. adseims@earthlink.net
Lube
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D000328:Adult; D005260:Female; D006554:Hernia, Umbilical / Q000150:complications* / Q000601:surgery; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications* / Q000601:surgery