Complications arising from neglected umbilical hernia are not uncommon in pregnancy, more especially in developing countries with characteristically poor health seeking behaviour and less encouraging attitude towards surgical intervention for un-complicated medical conditions. The report is on a 34-year-old para 8 who presented with prolonged labour and an irreducible herniated gravid uterus complicating a neglected congenital umbilical hernia. The patient was resuscitated. She had spontaneous vaginal delivery while preparation was being made for an elective caesarean section.
Cite this paper
Adesiyun, A. , Ameh, N. , Umar-Sullyman, H. , Avidime, S. , Alkali, G. , Bakari, F. and Aliyu, R. (2015) Term Gravid Uterus as a Content of Congenital Umbilical Hernia—A Complication in a Multigravida That Presented in Labour. Case Reports in Clinical Medicine
, 6-9. doi: 10.4236/crcm.2015.41002
 Punguyire, D., Iserson, K.V. and Apanga, S. (2011) Full-Term Pregnancy in Umbilical Hernia. Pan African Medical Journal, 8, 6. http://dx.doi.org/10.4314/pamj.v8i1.71053
 Hernia, D.R. (2000) Principles and Practice of Surgery Including Pathology in the Tropics. In: Badoe, E.A., Archampong, E.Q. and da Rocha-Afodu, J.T., Eds., 3rd Edition, Ghana Publishing Corporation, Tema, 482-502.
 Van Rooyen, A.J., Cominos, D.C. and van der Walt, A. (1977) Pressure Necrosis of a Caesarean Section Scar with Exteriorization of the Gravid Uterus: A Case Report. South African Medical Journal, 51, 666-668.
 Pandey, A., Kumar, V., Gangopadhyay, A.N. and Upadhyaya, V.D. (2008) Eviscerated Urinary Bladder via Ruptured Umbilical Hernia: A Rare Occurrence. Hernia, 12, 317-319. http://dx.doi.org/10.1007/s10029-007-0302-8
 Ahmed, A., Garba, S. and Ukwenya, Y. (2011) Spontaneous Rupture of Umbilical Hernia in Pregnancy: A Case Report. Oman Medical Journal, 26, 285-287. http://dx.doi.org/10.5001/omj.2011.70
 Muschaweck, U. (2003) Umbilical and Epigastric Hernia Repair. Surgical Clinics of North America, 83, 1207-1221. http://dx.doi.org/10.1016/S0039-6109(03)00119-1
 Mbuagbaw, L.C.E. and Morfaw, F.L. (2012) Gravid Uterus in an Umbilical Hernia. Case Reports in Obstetrics and Gynecology, 2012, 439-489.
 Hassim, A.M. and Khurana, K.M. (1967) Gravid Uterus in an Umbilical Hernia. Central African Journal of Medicine, 13, 260-261.
 Wydell, S.H. (1963) Umbilical Hernia in Pregnancy. British Medical Journal, 5342, 1413-1414. http://dx.doi.org/10.1136/bmj.1.5342.1413-a
 Rao, R.S. and Shankaregowda, H.S. (2006) A Case of Herniated Gravid Uterus through a Laparotomy Scar. Indian Journal of Medical Sciences, 60, 154-157. http://dx.doi.org/10.4103/0019-5359.24679
 Dare, F.O. and Lawal, O.O. (1991) Experience with 29 Cases of Female Ventral Incisional Hernias in Ile-Ife, Nigeria. International Journal of Gynecology Obstetrics, 36, 29-32. http://dx.doi.org/10.1016/0020-7292(91)90174-4
 Adesunkami, A.R. and Faleyinmu, B. (2009) Incidence and Aetiological Factors of Incisional Hernia in a Post Caesarean Operation in a Nigerian Hospital. Journal of Obstetrics Gynaecology, 279, 905-907.
 Ochsenbein-Kolble, N., Demartines, N., Ochsenbein-Imhof, N. and Zimmermann, R. (2004) Cesarean Section and Simultaneous Hernia Repair. Archives of Surgery, 139, 893-895. http://dx.doi.org/10.1001/archsurg.139.8.893