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Images in Clinical Medicine
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Volume 356:e13 April 12, 2007 Number 15
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Gravid Uterus in an Incisional Hernia

 

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A 32-year-old healthy woman, gravida 6 with two living children, presented at our clinic for the termination of pregnancy at 18 weeks of gestation. Her only previous abdominal surgeries had been two cesarean sections. The physical examination showed a gravid uterus; the rectus sheath was deficient in the midline infraumbilical area, a finding consistent with an incisional hernia. This defect had been present since the patient's last cesarean section 2 years earlier. A medical termination of the pregnancy was performed with the use of a 0.1% solution of ethacridine lactate, which was instilled extraamniotically through a Foley catheter. The termination was uneventful, and the patient was discharged in good condition. An incisional hernia repair was subsequently performed.

 

Charu Chanana, M.D.
Neena Malhotra, M.D
All India Institute of Medical Sciences
New Delhi 110029, India
charuchanana{at}rediffmail.com




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