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Incarceration of sessile uterine fibroids in an incisional hernia in a postmenopausal woman: a case report


Incarceration of sessile fibroids in an incisional hernia is uncommon and can cause pain and discomfort. Very few cases have been reported in the literature but none in our region in women in the postmenopausal period. We present an uncommon case of a 57-year-old primipara with a previous history of caesarean section and a laparotomy on account of adhesive intestinal obstruction. She presented with lower abdominal swelling and abdominal pain since 7 years. She had surgical removal of the mass and total abdominal hysterectomy with mesh repair of the incisional hernia. Histology of the resected hernia content revealed leiomyoma. Abdominal wall fibroid is a good differential diagnosis to be considered in any woman with an anterior abdominal mass and previous uterine surgery, including caesarean section.

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I am using this opportunity to acknowledge the useful contributions from Professor Adesegun Fatusi, Dr. Funmito Fehintola and Dr. Olorunfemi Ogundele of the Community Health Department, Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Osun State, Nigeria, for their inputs in writing of this article.

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Correspondence to Akintunde O. Fehintola.

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Written informed consent was obtained from the patient for publication of this case presentation and accompanying image. A copy of the written consent is available for review by the editor-in-chief of this journal.

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Exploratory laparotomy. Pictures showing the exploratory laparotomy and total abdominal hysterectomy with mesh repair of the hernia.

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Fehintola, A.O., Amole, O.I., Ogunlaja, A.O. et al. Incarceration of sessile uterine fibroids in an incisional hernia in a postmenopausal woman: a case report. Gynecol Surg 13, 89–92 (2016).

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  • Leiomyoma
  • Incisional hernia
  • Postmenopausal woman