Acute abdomen secondary to ovarian tumour incarcerated in an umbilical hernia: A case report

Acute abdomen secondary to ovarian tumour incarcerated in an umbilical hernia: A case report

Acute abdomen due to incarcerated umbilical hernia is a surgical emergency. Acute abdomen secondary to gynaecological conditions is not uncommon. However, acute abdomen due to incarceration of a gynaecological tumour in an umbilical hernia is rare. A 25-year-old nullipara was admitted to the acciden...

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Bibliographic Details
Published in:Journal of the West African College of Surgeons Vol. 14; no. 3; pp. 355 - 357
Main Authors: Duromola, Kehinde Micheal, Yahya, Anisah, Raymond, Umoru Odoje, Lawal, Bilkisu Kankia, Kolawole, Abimbola Omolara, Oguntayo, Adekunle Olarenwaju, Mustapha, Aisha
Format: Journal Article
Language:English
Published: India Wolters Kluwer - Medknow 01-07-2024
Subjects:
Case Report
Acute abdomen
incarcerated ovarian tumour
umbilical hernia
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Summary:Acute abdomen due to incarcerated umbilical hernia is a surgical emergency. Acute abdomen secondary to gynaecological conditions is not uncommon. However, acute abdomen due to incarceration of a gynaecological tumour in an umbilical hernia is rare. A 25-year-old nullipara was admitted to the accident and emergency unit with a history of recurrent lower abdominal pain and abdominal swelling for 4 weeks. Pain worsened within the last 24 h necessitating presentation. Examination revealed a low-grade pyrexia, tachypnoea, an umbilical swelling with generalised abdominal tenderness, and a pelvic mass more in the right iliac fossa. Bedside abdomino-pelvic ultrasound scan confirmed bilateral adnexal masses with features suggestive of mature teratoma. A diagnosis of acute abdomen secondary to ovarian tumour accident was made. An emergency exploratory laparotomy revealed a huge right ovarian tumour incarcerated in an umbilical hernia. She had bilateral ovarian cystectomy and herniorrhaphy. Gynaecological tumours presenting as incarcerated or strangulated hernias are extremely rare but can be a cause of acute abdomen in women.
Bibliography:ObjectType-Case Study-2
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ISSN:2276-6944
2992-5827
DOI:10.4103/jwas.jwas_138_23