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Term gravid uterus in a congenital umbilical hernia: a case report
BACKGROUND: Umbilical hernias are a frequent and well-known pathology in children or adults. Congenital umbilical hernias are commonly diagnosed in childhood, and in adulthood such a hernia is usually acquired. Umbilical hernia in pregnancy may result in serious obstetric complications including ant...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8019167/ https://www.ncbi.nlm.nih.gov/pubmed/33810816 http://dx.doi.org/10.1186/s13256-021-02760-2 |
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author | Saidi, Friday Rajab, Bakari Chinula, Lameck Kafumba, Nomsa Chagomerana, Maganizo Tang, Jennifer H. |
author_facet | Saidi, Friday Rajab, Bakari Chinula, Lameck Kafumba, Nomsa Chagomerana, Maganizo Tang, Jennifer H. |
author_sort | Saidi, Friday |
collection | PubMed |
description | BACKGROUND: Umbilical hernias are a frequent and well-known pathology in children or adults. Congenital umbilical hernias are commonly diagnosed in childhood, and in adulthood such a hernia is usually acquired. Umbilical hernia in pregnancy may result in serious obstetric complications including antepartum hemorrhage, intrauterine fetal demise, and preterm labor, particularly if incarcerated. CASE PRESENTATION: We present a rare case of a congenital umbilical hernia in a term pregnancy. The patient was a 34-year-old African (Malawian) woman, living with human immunodeficiency virus (HIV) and on antiretroviral treatment, gravida 4, with three previous vaginal deliveries, and with two babies weighing 4 kg at birth. We performed herniorrhaphy at caesarean section, and at 3 months of follow-up she had no evidence of a recurrent hernia. CONCLUSION: Congenital umbilical hernias are commonly diagnosed in childhood but might first be seen by medical practitioners in adulthood. A patient-centered approach addressing patient complaints, associated risk factors, and possible complications is recommended. Primary repair at caesarean section is a feasible option. |
format | Online Article Text |
id | pubmed-8019167 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80191672021-04-05 Term gravid uterus in a congenital umbilical hernia: a case report Saidi, Friday Rajab, Bakari Chinula, Lameck Kafumba, Nomsa Chagomerana, Maganizo Tang, Jennifer H. J Med Case Rep Case Report BACKGROUND: Umbilical hernias are a frequent and well-known pathology in children or adults. Congenital umbilical hernias are commonly diagnosed in childhood, and in adulthood such a hernia is usually acquired. Umbilical hernia in pregnancy may result in serious obstetric complications including antepartum hemorrhage, intrauterine fetal demise, and preterm labor, particularly if incarcerated. CASE PRESENTATION: We present a rare case of a congenital umbilical hernia in a term pregnancy. The patient was a 34-year-old African (Malawian) woman, living with human immunodeficiency virus (HIV) and on antiretroviral treatment, gravida 4, with three previous vaginal deliveries, and with two babies weighing 4 kg at birth. We performed herniorrhaphy at caesarean section, and at 3 months of follow-up she had no evidence of a recurrent hernia. CONCLUSION: Congenital umbilical hernias are commonly diagnosed in childhood but might first be seen by medical practitioners in adulthood. A patient-centered approach addressing patient complaints, associated risk factors, and possible complications is recommended. Primary repair at caesarean section is a feasible option. BioMed Central 2021-04-03 /pmc/articles/PMC8019167/ /pubmed/33810816 http://dx.doi.org/10.1186/s13256-021-02760-2 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Saidi, Friday Rajab, Bakari Chinula, Lameck Kafumba, Nomsa Chagomerana, Maganizo Tang, Jennifer H. Term gravid uterus in a congenital umbilical hernia: a case report |
title | Term gravid uterus in a congenital umbilical hernia: a case report |
title_full | Term gravid uterus in a congenital umbilical hernia: a case report |
title_fullStr | Term gravid uterus in a congenital umbilical hernia: a case report |
title_full_unstemmed | Term gravid uterus in a congenital umbilical hernia: a case report |
title_short | Term gravid uterus in a congenital umbilical hernia: a case report |
title_sort | term gravid uterus in a congenital umbilical hernia: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8019167/ https://www.ncbi.nlm.nih.gov/pubmed/33810816 http://dx.doi.org/10.1186/s13256-021-02760-2 |
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