Abstract
Flood syndrome is a spontaneous rupture of an umbilical hernia. It has a high mortality and morbidity and presents many challenges in medical versus surgical management. We present a case of a 23-year-old Yamani woman with complicated umbilical hernia, newly diagnosed hepatitis B infection, and decompensated liver cirrhosis with ascites (Child-Pugh grade B). The patient was undergoing multiple abdominal ascitic tapping that eventually ruptured with an omentum evisceration, causing Flood syndrome. An urgent umbilical hernioplasty with mesh in a sublay technique was conducted.
Highlights
Ascites is a common complication of cirrhosis and indicates a new phase of hepatic decompensation in the progression of the cirrhotic process [1]
Flood syndrome is a spontaneous rupture of an umbilical hernia
We present a case of a 23-year-old Yamani woman with complicated umbilical hernia, newly diagnosed hepatitis B infection, and decompensated liver cirrhosis with ascites (Child-Pugh grade B)
Summary
Ascites is a common complication of cirrhosis and indicates a new phase of hepatic decompensation in the progression of the cirrhotic process [1]. Flood syndrome is described as a sudden gush of fluid from spontaneous umbilical hernia rupture It is a life-threatening complication of chronic ascites and end-stage liver disease [3]. After two weeks under medical care and multiple ascitic tapping, the patient responded with a sudden gush of clear fluid and spontaneous evisceration of the omentum from the umbilical hernia (Figure 1). The patient was referred from the medical team as a case of spontaneous umbilical hernia rupture and leaking ascitic fluid with omentum evisceration. How to cite this article Albeladi A M, Odeh A M, Alali A H, et al (June 29, 2021) Spontaneous Umbilical Hernia Rupture Associated With Omentum Evisceration in a Patient With Advanced Hepatic Cirrhosis and Refractory Ascites. The patient was referred to a tertiary center for further management
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