Full term pregnancy in an incisional hernia of the anterior abdominal wall is rare and a serious condition. Initially the hernia is reducible, but as pregnancy advances, it may be complicated by skin ulcerations, incarceration and subsequent strangulation within the hernia sac. Potentially grave obstetric complications such as preterm labour, accidental hemorrhage, intrauterine growth restriction, intrauterine fetal death, scar dehiscence and rupture of the lower uterine scar can occur. We report a case of full term pregnancy in an incisional hernia with uterine scar dehiscence, its clinical course, management and review of literature.
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