Vol. 9, Issue 1, Part A (2025)

This case report discusses a rare presentation of a strangulated and incarcerated paraumbilical hernia caused by impacted Ascaris lumbricoides in a 17-week pregnant, obese female. The patient presented with acute abdominal pain and a non-reducible umbilical mass. Ultrasound the diagnosis, revealing a loop of bowel within the hernia sac. Prompt surgical intervention was performed to release the incarcerated bowel and remove the parasitic obstruction, ensuring both maternal and fetal safety. This case underscores the importance of considering parasitic causes in atypical presentations of hernias, particularly in pregnant patients, and highlights the challenges of managing complex surgical emergencies during pregnancy.