Approximately 20%of cirrhotic patients with ascites develop umbilical herniation.These patients usually suffer from multisystemic complications of cirrhosis,have a significantly higher risk of infection,and require ac...Approximately 20%of cirrhotic patients with ascites develop umbilical herniation.These patients usually suffer from multisystemic complications of cirrhosis,have a significantly higher risk of infection,and require accurate surveillance–especially in the context of the coronavirus disease 2019 pandemic.The rupture of an umbilical hernia,is an uncommon,life-threatening complication of largevolume ascites and end-stage liver disease resulting in spontaneous paracentesis,also known as Flood syndrome.Flood syndrome remains a challenging condition for clinicians,as recommendations for its management are lacking,and the available evidence for the best treatment approach remains controversial.In this paper,four key questions are addressed regarding the management and prevention of Flood syndrome:(1)Which is the best treatment approach–conservative treatment or urgent surgery?(2)How can we establish the individual risk for herniation and possible hernia rupture in cirrhotic patients?(3)How can we prevent umbilical hernia ruptures?And(4)How can we manage these patients in the conditions created by the coronavirus disease 2019 pandemic?展开更多
Abdominal cocoon （AC） is a rare condition, that leading to acute or chronic small bowel obstruction, characterized by a total or partial encapsulation of the small bowel by a fibrous membrane or sac-like cocoon, som...Abdominal cocoon （AC） is a rare condition, that leading to acute or chronic small bowel obstruction, characterized by a total or partial encapsulation of the small bowel by a fibrous membrane or sac-like cocoon, sometimes colon, uterus or accessories are encased in. The disease is characterized as either primary or secondary to other causes. The main reported clinical manifestations of AC are acute/subacute complete/partial intestinal obstruction and abdominal mass.H1 Here, we report a rare case of AC presenting as umbilical hernia, and to our knowledge, it is only a few cases of this entity have been reported previously. Even though preoperative diagnosis of AC is difficult and normally laparotomy is the main solution, in our case, we chose the method which combines laparoscopy with open surgery, it solved patient problem quickly and efficiently, and that further confirmed laparoscopic surgery has great significance in diagnosis and treatment of AC.展开更多
文摘Approximately 20%of cirrhotic patients with ascites develop umbilical herniation.These patients usually suffer from multisystemic complications of cirrhosis,have a significantly higher risk of infection,and require accurate surveillance–especially in the context of the coronavirus disease 2019 pandemic.The rupture of an umbilical hernia,is an uncommon,life-threatening complication of largevolume ascites and end-stage liver disease resulting in spontaneous paracentesis,also known as Flood syndrome.Flood syndrome remains a challenging condition for clinicians,as recommendations for its management are lacking,and the available evidence for the best treatment approach remains controversial.In this paper,four key questions are addressed regarding the management and prevention of Flood syndrome:(1)Which is the best treatment approach–conservative treatment or urgent surgery?(2)How can we establish the individual risk for herniation and possible hernia rupture in cirrhotic patients?(3)How can we prevent umbilical hernia ruptures?And(4)How can we manage these patients in the conditions created by the coronavirus disease 2019 pandemic?
文摘Abdominal cocoon （AC） is a rare condition, that leading to acute or chronic small bowel obstruction, characterized by a total or partial encapsulation of the small bowel by a fibrous membrane or sac-like cocoon, sometimes colon, uterus or accessories are encased in. The disease is characterized as either primary or secondary to other causes. The main reported clinical manifestations of AC are acute/subacute complete/partial intestinal obstruction and abdominal mass.H1 Here, we report a rare case of AC presenting as umbilical hernia, and to our knowledge, it is only a few cases of this entity have been reported previously. Even though preoperative diagnosis of AC is difficult and normally laparotomy is the main solution, in our case, we chose the method which combines laparoscopy with open surgery, it solved patient problem quickly and efficiently, and that further confirmed laparoscopic surgery has great significance in diagnosis and treatment of AC.
