Hernia of the pregnant uterus in the scar after appendectomy

If uterine hernias in general are a rare phenomenon, then even rarer are hernias of the pregnant uterus. In reviewing the Russian literature on obstetrics, I encountered descriptions of only two cases of this kind, observed by Rozanov and Tipyakov. In the case of the first author there was an inguinal hernia hanging down to his knees; the pregnancy ended in spontaneous delivery of a stillborn fetus. Unfortunately, I could get acquainted with this case only from a brief abstract; I could not obtain the author's dissertation, in which this case is apparently described in more detail. In Tinyakov's case there was an abdominal hernia with the phenomena of impingement; the pregnancy was in its fifth month; due to the presence of signs of impingement, the author performed perineal resection, dissected the hernia ring and repositioned the uterus, after which the pregnancy safely reached its end.