Spontaneous rupture of incisional hernia in a 7 month concealed pregnancy: a rare case report

Incisional hernias have been reported in up to 20% of patients undergoing laparotomy. The incidence of incisional hernia following Caesarean section by vertical incision is 3.1%. Spontaneous rupture of abdominal hernia is very rare and usually occurs in incisional and recurrent groin hernias. Conservative management such as manual reduction and use of abdominal binder until term has been applied with unreliable success. Additionally, surgical intervention such as antepartum hernial repair has also been undertaken in few women while allowing for normal vaginal delivery at term. The rarity of this condition prompted us to report a case of spontaneous rupture of incisional hernia in a 35 years old pregnant lady who had developed incisional hernia following caesarean section.