Pregnancy with incisional scar evisceration of fallopian tube: A rare case report

Abstract

Scar herniation of solid abdominal and pelvic organ, other structures, for example, fallopian tube, is extremely rare in the pregnant women. Incisional hernias are not uncommon but obstetric complications during pregnancy due to an incisional hernia are very rare. Here, we report a case of fallopian tube evisceration or incisional hernia through a previous scar. A 26-year-old young female, G2P1L1 at 26 weeks of gestation with a history of previous cesarean section presented to our hospital with complaints of something coming outside of abdomen through the left side of the previous scar on the anterior abdominal wall since 15 days. The patient was examined and investigated and planned for laparotomy. Her preoperative finding was there was herniation or prolapse of fimbrial part of fallopian tube through scar was found. Gravid uterus size was corresponding to 26 weeks of gestation age. Right adnexa and left ovary were normal. Prolapse was reduced manually and abdomen closed back in layers. Her postoperative period was uneventful and discharged with stable maternal and fetal condition. Fallopian tube evisceration is usually prone to misdiagnosis or delayed diagnosis. These cases should be managed by high index of suspicion. These cases are a diagnostic challenge to an obstetrician.