Ventral hernia containing a term gravid uterus: A rare challenge in surgical and obstetric management

Radiology Case Reports 2026 Open access

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Authors: José María Zepeda Torres, Juan Daniel Flores Carlos, Luis Osvaldo Suárez Carreón, Frida Juliette Montes Aceves, Gonzalo Delgado Hernandez, Daniel Alejandro Ángel Montoya, Pedro Mauricio Nuñez Aviña, Oswaldo Efraín Moreno Castro, Julio César Cárdenas Valdéz, Víctor Salvador García Escoto, Ramón Jafit González López
DOI: 10.1016/j.radcr.2025.12.002
Cited by: 0
References: 3

Abstract

A 28-year-old woman at 34.5 weeks of gestation presented with an incarcerated ventral hernia containing the gravid uterus and overlying skin ulceration, one year after a cesarean section. Magnetic resonance imaging revealed a large infraumbilical defect with herniation of the uterus and small bowel. Given the risk of rupture and infection, an urgent cesarean delivery followed by primary abdominal wall repair without mesh was performed. Both maternal and neonatal outcomes were favorable. Gravid uterine herniation through an incisional defect is extremely rare and requires individualized multidisciplinary management, with primary repair being a safe option in contaminated or high-risk settings.

Fields of Study & Subjects

Hernia repair and management Congenital Anomalies and Fetal Surgery Maternal and fetal healthcare

Publication details

Journal / source
Radiology Case Reports
Volume
21
Issue
4
Pages
1408–1411
Publication date
12 January 2026
Language
EN