{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:39:12Z","timestamp":1787841552390,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["JWAS"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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\u2009h 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.<\/jats:p>","DOI":"10.4103\/jwas.jwas_138_23","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T13:00:30Z","timestamp":1723122030000},"page":"355-357","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Acute abdomen secondary to ovarian tumour incarcerated in an umbilical hernia: A case report"],"prefix":"10.4103","volume":"14","author":[{"given":"Kehinde Micheal","family":"Duromola","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisah","family":"Yahya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medical Sciences, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umoru Odoje","family":"Raymond","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilkisu Kankia","family":"Lawal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medical Sciences, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abimbola Omolara","family":"Kolawole","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medical Sciences, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adekunle Olarenwaju","family":"Oguntayo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medical Sciences, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisha","family":"Mustapha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medical Sciences, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"CIT0001-20240907","first-page":"48","article-title":"Gynaecological acute abdomen","volume":"16","author":"Ateeq","year":"2012","journal-title":"J Rawalpindi Medical College"},{"key":"CIT0002-20240907","first-page":"1","article-title":"Acute incarcerated external abdominal hernia","volume":"2","author":"Yang","year":"2014","journal-title":"Ann Transl Med"},{"key":"CIT0003-20240907","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/j.bpobgyn.2009.02.001","article-title":"Diagnosis and management of ovarian cyst accidents","volume":"23","author":"Bottomley","year":"2009","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"CIT0004-20240907","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1002\/jso.2930070609","article-title":"Ovarian cancer presenting as umbilical hernia","volume":"7","author":"Millar","year":"1975","journal-title":"J Surg Oncol"},{"key":"CIT0005-20240907","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1097\/00007611-199103000-00026","article-title":"Benign cystic teratoma manifested as an umbilical hernia.pdf","volume":"84","author":"Wolfson","year":"1991","journal-title":"South Med J"},{"key":"CIT0006-20240907","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s10397-007-0288-3","article-title":"Incarcerated ovarian hernia in the umbilicus","volume":"4","author":"Edmonds","year":"2007","journal-title":"Gynecol Surg"},{"key":"CIT0007-20240907","first-page":"1062","article-title":"Incarcerated umbilical hernia as an initial presentation of advanced ovarian malignancy","volume":"3","author":"Arumugham","year":"2015","journal-title":"Med J Obstet Gynecol"},{"key":"CIT0008-20240907","doi-asserted-by":"crossref","first-page":"539","DOI":"10.3346\/jkms.2009.24.3.539","article-title":"Giant ovarian tumor presenting as an incarcerated umbilical hernia: A case report","volume":"24","author":"Karabulut","year":"2009","journal-title":"J Korean Med Sci"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_138_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:01:07Z","timestamp":1787839267000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_138_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,24]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_138_23","relation":{},"ISSN":["2276-6944"],"issn-type":[{"value":"2276-6944","type":"print"}],"subject":[],"published":{"date-parts":[[2024,5,24]]},"assertion":[{"value":"2023-07-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}