Après Moi, Le Deluge: The identification and management of flood

Am J Emerg Med · Oct 2023

Case Reports

Après Moi, Le Deluge: The identification and management of flood syndrome in the emergency department.

Umbilical hernias develop in approximately 20% of patients with liver cirrhosis and ascites. Flood Syndrome is an eponym describing the spontaneous rupture of these umbilical hernias due to the elevated intrabdominal pressure associated with large-volume ascites. Though rare, Flood Syndrome is associated with several life-threatening sequela including infection, organ failure, and hypovolemic shock, leading to mortality or transplant in over 30% of patients. The following case is a single patient encounter describing an 80-year-old female with long-standing ascites who presented to the Emergency Department shortly after experiencing a spontaneous extravasation of fluid from her umbilical hernia.

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- Sneha Kalluri, Stevan A Gonzalez, and Jon Wolfshohl.
- Department of Medicine, Baylor Scott & White All-Saints Medical Center, Fort Worth, TX, United States of America. Electronic address: snehakalluri94@gmail.com.
- Am J Emerg Med. 2023 Oct 1; 72: 223.e5223.e6223.e5-223.e6.
AbstractUmbilical hernias develop in approximately 20% of patients with liver cirrhosis and ascites. Flood Syndrome is an eponym describing the spontaneous rupture of these umbilical hernias due to the elevated intrabdominal pressure associated with large-volume ascites. Though rare, Flood Syndrome is associated with several life-threatening sequela including infection, organ failure, and hypovolemic shock, leading to mortality or transplant in over 30% of patients. The following case is a single patient encounter describing an 80-year-old female with long-standing ascites who presented to the Emergency Department shortly after experiencing a spontaneous extravasation of fluid from her umbilical hernia.Copyright © 2023 Elsevier Inc. All rights reserved.

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Après Moi, Le Deluge: The identification and management of flood syndrome in the emergency department.

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