{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:14:02Z","timestamp":1740147242899,"version":"3.37.3"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T00:00:00Z","timestamp":1692316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T00:00:00Z","timestamp":1692316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"Abstract<\/jats:title>\n Background<\/jats:title>\n Uterine fibroids incarcerated in abdominal wall hernias during pregnancy are rare, with only six cases reported in umbilical hernias. This case report presents the first reported case of an incarcerated uterine fibroid in an epigastric hernia.<\/jats:p>\n <\/jats:sec>\n Case presentation<\/jats:title>\n A 31-year-old primigravid Caucasian woman at 28\u00a0weeks gestational age presented with sudden onset abdominal pain and vomiting. Physical examination revealed an incarcerated epigastric hernia containing a non-reducible firm mass. Ultrasound showed a healthy fetus, and during surgery, a subserosal and sessile fibroid originating from the anterior uterine wall was found in the hernia sac. It was easily reduced, and the hernia was repaired with no complications. The patient proceeded to deliver a healthy baby boy by cesarean section at full term.<\/jats:p>\n <\/jats:sec>\n Conclusion<\/jats:title>\n Uterine fibroids incarcerated in abdominal wall hernias during pregnancy are rare and affect mostly primigravid women in the third trimester. Abdominal ultrasound may facilitate the diagnosis, and pedunculated fibroids may be resected while sessile fibroids should be simply reduced. Clinicians should consider incarcerated fibroid as a differential diagnosis in pregnant women with irreducible ventral abdominal wall hernias. This case report aims to contribute to the literature and optimize the management of abdominal wall hernias in pregnant women.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s13256-023-04032-7","type":"journal-article","created":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T10:02:09Z","timestamp":1692352929000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A uterine fibroid presenting as an incarcerated epigastric hernia: a\u00a0case report and review of the literature"],"prefix":"10.1186","volume":"17","author":[{"given":"Souhaib","family":"Atri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3658-9553","authenticated-orcid":false,"given":"Mahdi","family":"Hammami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meriem","family":"Ben Brahim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houcine","family":"Maghrebi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montassar","family":"Kacem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,8,18]]},"reference":[{"key":"4032_CR1","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1111\/j.1742-1241.1999.tb11667.x","volume":"53","author":"AE Ehigiegba","year":"1999","unstructured":"Ehigiegba AE, Selo-Ojeme DO. Myomectomy in pregnancy: incarcerated pedunculated fibroid in an umbilical hernia sac. Int J Clin Pract. 1999;53:80.","journal-title":"Int J Clin Pract"},{"key":"4032_CR2","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1007\/s10029-005-0005-y","volume":"9","author":"C Wong","year":"2005","unstructured":"Wong C. A uterine fibroid presenting as an incarcerated umbilical hernia during pregnancy. Hernia. 2005;9:298.","journal-title":"Hernia"},{"key":"4032_CR3","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1007\/s10029-006-0094-2","volume":"10","author":"M Uludag","year":"2006","unstructured":"Uludag M, Yetkin G, Demirel M, Citgez B, Isgor A. Incarceration of umbilical hernia during pregnancy due to a sessile fibroid. Hernia. 2006;10:357.","journal-title":"Hernia"},{"key":"4032_CR4","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1007\/s10029-008-0444-3","volume":"13","author":"AD Seims","year":"2009","unstructured":"Seims AD, Lube MW. Incarceration of a sessile uterine fibroid in an umbilical hernia during pregnancy. Hernia. 2009;13:309\u201311.","journal-title":"Hernia"},{"key":"4032_CR5","first-page":"4","volume":"27","author":"E Kelemouridou","year":"2011","unstructured":"Kelemouridou E, Al Mogrampi S, Intzes S, Tsavis G, Fardellas I. A uterine fibroid presenting as an incarcerated umbilical hernia during pregnancy. J GYN Surg. 2011;27:4.","journal-title":"J GYN Surg"},{"key":"4032_CR6","first-page":"5","volume":"37","author":"N Zurita","year":"2021","unstructured":"Zurita N, Barraza OC, Trujillo YA, Sarmiento JF. Pedunculated uterine leiomyoma incarcerated within an umbilical hernia: case report and literature review. J GYN Surg. 2021;37:5.","journal-title":"J GYN Surg"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-023-04032-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-023-04032-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-023-04032-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T02:28:16Z","timestamp":1700274496000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-023-04032-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,18]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["4032"],"URL":"https:\/\/doi.org\/10.1186\/s13256-023-04032-7","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2023,8,18]]},"assertion":[{"value":"6 May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 June 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 August 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. 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 declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"370"}}