Obstet Gynecol Sci.  2017 May;60(3):318-321. 10.5468/ogs.2017.60.3.318.

Incarceration of a pedunculated uterine fibroid in an umbilical hernia

• Kim MJ
• Cha HH
• Seong WJ

• KMID: 2378596
• DOI: http://doi.org/10.5468/ogs.2017.60.3.318

Abstract

Uterine fibroids are common benign tumors that may cause an umbilical hernia in patients with increased intra-abdominal pressure due to pregnancy, obesity, ascites, and intra-abdominal tumors. However, the simultaneous occurrence of uterine fibroids and umbilical hernias, or fibroids and an associated umbilical hernia, during pregnancy has rarely been reported. Here, we present the case of a fibroid presenting as an incarcerated umbilical hernia in a menopausal patient.

Keyword

Hernia, umbilical; Incarceration; Leiomyoma

MeSH Terms

Ascites
Hernia, Umbilical*
Humans
Leiomyoma*
Obesity
Pregnancy

Figure

• 

  Fig. 1 (A) Ultrasonography image showing an inhomogeneous hypoechoic mass within the umbilical sac (star), connected to an intra-abdominal mass (cross) with a 3.6-cm umbilical fascial defect. (B) Sagittal sections on multidetector computed tomography showing a huge intra-abdominal mass (cross) with a pedunculated stalk through an umbilical hernia (star). (C) Intraoperative photograph showing an umbilical hernia sac containing a pedunculated fibroid. (D) Histologic finding reveals leiomyoma (×200).

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