{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:15:24Z","timestamp":1740147324568,"version":"3.37.3"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,3]],"date-time":"2021-04-03T00:00:00Z","timestamp":1617408000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,3]],"date-time":"2021-04-03T00:00:00Z","timestamp":1617408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Umbilical hernias are a frequent and well-known pathology in children or adults. Congenital umbilical hernias are commonly diagnosed in childhood, and in adulthood such a hernia is usually acquired. Umbilical hernia in pregnancy may result in serious obstetric complications including antepartum hemorrhage, intrauterine fetal demise, and preterm labor, particularly if incarcerated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present a rare case of a congenital umbilical hernia in a term pregnancy. The patient was a 34-year-old African (Malawian) woman, living with human immunodeficiency virus (HIV) and on antiretroviral treatment, gravida 4, with three previous vaginal deliveries, and with two babies weighing 4\u00a0kg at birth. We performed herniorrhaphy at caesarean section, and at 3 months of follow-up she had no evidence of a recurrent hernia.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Congenital umbilical hernias are commonly diagnosed in childhood but might first be seen by medical practitioners in adulthood. A patient-centered approach addressing patient complaints, associated risk factors, and possible complications is recommended. Primary repair at caesarean section is a feasible option.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02760-2","type":"journal-article","created":{"date-parts":[[2021,4,2]],"date-time":"2021-04-02T23:04:59Z","timestamp":1617404699000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Term gravid uterus in a congenital umbilical hernia: a case report"],"prefix":"10.1186","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1190-1499","authenticated-orcid":false,"given":"Friday","family":"Saidi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bakari","family":"Rajab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lameck","family":"Chinula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nomsa","family":"Kafumba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maganizo","family":"Chagomerana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer H.","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,4,3]]},"reference":[{"issue":"4","key":"2760_CR1","doi-asserted-by":"publisher","first-page":"60","DOI":"10.4018\/ijudh.2012100110","volume":"2","author":"S Dasgupta","year":"2013","unstructured":"Dasgupta S. Incisional hernia in pregnancy. Int J User-Driven Healthc. 2013;2(4):60\u20132.","journal-title":"Int J User-Driven Healthc."},{"issue":"1","key":"2760_CR2","first-page":"36","volume":"14","author":"GPN Karunavathi","year":"2015","unstructured":"Karunavathi GPN, Shravya T. Evisceration of gravid uterus in anterior abdominal wall defect with scar rupture: a case report. Medicine. 2015;14(1):36\u20137.","journal-title":"Medicine"},{"key":"2760_CR3","first-page":"283","volume":"53","author":"MKS Nagpal","year":"2003","unstructured":"Nagpal MKS. Herniated pregnant uterus with bleeding from previous abdominal scar. J Obs Gynaecol India. 2003;53:283.","journal-title":"J Obs Gynaecol India."},{"issue":"5","key":"2760_CR4","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1007\/s002680020072","volume":"25","author":"D Meier","year":"2001","unstructured":"Meier D, OlaOlorun D, Omodele R, Sunday TJ. Incidence of umbilical hernia in African children: redefinition of \u201cnormal\u201d and reevaluation of indications for repair. World J Surg. 2001;25(5):645\u20138.","journal-title":"World J Surg."},{"key":"2760_CR5","doi-asserted-by":"publisher","first-page":"6","DOI":"10.4236\/crcm.2015.41002","volume":"1","author":"AG Adesiyun","year":"2015","unstructured":"Adesiyun AG, Ameh N, Umar-sullyman H, Avidime S. Term gravid uterus as a content of congenital umbilical hernia\u2014a complication in a multigravida that presented in labour. Case Rep Clin Med. 2015;1:6\u20139.","journal-title":"Case Rep Clin Med"},{"key":"2760_CR6","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1111\/j.1447-0756.2001.tb01224.x","volume":"27","author":"N Banerjee","year":"2001","unstructured":"Banerjee N, Deka D, Sinha A, Prasrad RTD. Gravid uterus in an incisional hernia. 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A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no competing interests to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"187"}}