• Hernia · Aug 2016

    Case Reports

    Umbilical paracentesis for incarcerated umbilical hernia in patients with end-stage liver disease.

    • S Alonso, M Donat, L Carrion, J M Rodriguez, L Diego, D Acin, A Serrano, E Perez, and F Pereira.
    • General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain. y.dum@hotmail.com.
    • Hernia. 2016 Aug 1; 20 (4): 531-3.

    PurposePatients with cirrhosis and ascites are prone to abdominal wall complications largely predominate by umbilical hernia. Elective surgery is indicated in select patients but a high morbidity and mortality rate occurs if it is performed in emergency conditions.MethodsWe present a clinical case of a patient with advanced alcoholic liver disease who came to the emergency room for an acutely incarcerated umbilical hernia. Due to the high surgical risk, we had to discuss other treatment options.ResultsThe use of umbilical paracentesis for incarcerated hernia reduction in cirrhotic patients with tense ascites is a safe and reproducible technique.ConclusionsUmbilical paracentesis could be considered as an alternative to emergency surgery in these high-risk patients.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…