Abstract
Purpose
Patients 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.
Methods
We 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.
Results
The use of umbilical paracentesis for incarcerated hernia reduction in cirrhotic patients with tense ascites is a safe and reproducible technique.
Conclusions
Umbilical paracentesis could be considered as an alternative to emergency surgery in these high-risk patients.
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Abbreviations
- MELD:
-
Model for end-stage liver disease
- TIPS:
-
Paracentesis and transjugular intrahepatic portosystemic shunt
- UH:
-
Umbilical hernia
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Alonso, S., Donat, M., Carrion, L. et al. Umbilical paracentesis for incarcerated umbilical hernia in patients with end-stage liver disease. Hernia 20, 531–533 (2016). https://doi.org/10.1007/s10029-015-1421-2
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DOI: https://doi.org/10.1007/s10029-015-1421-2