Giant Encapsulated Anterior Abdominal Wall Haematoma Complicating Mesh Incisional Hernia Repair: Challenges of Management in a High-Risk Term Pregnancy in a Low Resource Setting

Giant encapsulated haematoma of the anterior abdominal wall is an unusual complication mesh incisional hernia repair. The commonest symptoms are swelling and pain. It can be diagnosed with ultrasonography Computed Tomography (CT) scan. objective this case report to illustrate challenges management a complex pathology in high-risk term pregnancy. In report, 28-year-old morbidly obese multiparous woman two previous ventral repairs caesarian sections, presented at prenatal clinic protruding mass. Initial preoperative diagnosis aided by was herniated gestation through hernia. Intraoperatively, surgical team faced challenge managing longstanding giant organized anticipation prevention obstetric complications associated sections big baby. This illustrates that good clinical assessment combined sonographic cases experienced radiologist crucial avoid missed diagnosis. A multidisciplinary essential for successful outcome.