Document Detail

Incisional hernia with bowel incarceration and obstruction at 34 weeks gestational age.
MedLine Citation:
PMID:  18850105     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Hernias commonly coexist with pregnancy; however, an incarcerated hernia with bowel obstruction is rare at advanced gestation and requires urgent intervention. CASE: A multiparous woman with a known large incisional hernia presented at 33 weeks and 5 days gestational age with acute-onset, upper abdominal pain and nausea. The patient was diagnosed with small bowel obstruction secondary to an incarcerated hernia. She was managed with serial abdominal exams until her repeat cesarean section and simultaneous hernia repair were performed 24 h after admission and betamethasone administration. The patient and infant did well postoperatively. CONCLUSION: Bowel incarceration through an incisional hernia can occur during pregnancy and result in favorable maternal and neonatal outcomes with simultaneous delivery and surgical repair.
Brett C Young; Dana Fugelso; Tamara Takoudes
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-10-11
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  279     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-04-24     Completed Date:  2009-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  905-7     Citation Subset:  IM    
Obstetrics and Gynecology Department, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
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MeSH Terms
Gestational Age
Hernia, Abdominal / complications*
Intestinal Obstruction / etiology*
Pregnancy Complications / etiology*

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