|
Authors:
Mr Lava Krishna Kannappa, Dr Mohsin Hussein, Dr May Hnin Lwin, Mr Yahya Salama, United Kingdom
|
|
Abstract:
Flood syndrome, Eponym for rupture of umbilical hernia in cirrhotic patients is a rare complication. Flood syndrome occurs due to sudden increase in intra-abdominal pressure in chronic liver cirrhosis patients with as cites. Case Presentation: We present a 65 year old Caucasian man with chronic liver disease, who presented to the emergency department with sudden onset of abdominal pain and increase in swelling of the pre-existing umbilical hernia with associated erythematous changes over the skin of umbilical hernia resulting in discharge of yellow coloured liquid. Conclusion: Ruptured umbilical hernia with exudation of as acetic fluid (Flood syndrome) associated with Skin ulceration or necrosis should be identified immediately. Patient should be resuscitated initially with albumin, I.V antibiotics and have surgical repair with post-operative treatment under gastroenterologist for as cites.
|
