Fig. 1

a Lower abdominal computed tomographic scan taken 3 months after the third cesarean section. The asterisk indicates abdominal incisional hernia with a 10-cm diameter of the hernia orifice. b Pus was discharged from a cutaneous fistula in the lower abdominal wall. This image was taken at 13 weeks of gestation. The arrowhead indicates a cutaneous fistula. c Sagittal, T2-weighted magnetic resonance image of the pelvis taken at 14 weeks of gestation. The dashed lines demarcate accumulation of pus surrounding the surgical mesh. d. Upper abdominal computed tomographic scan taken 4 months after the most recent cesarean section. The arrow indicates incisional hernia in the upper abdominal wall