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

被引:0
|
作者
Kalluri, Sneha [1 ]
Gonzalez, Stevan A. [1 ,3 ]
Wolfshohl, Jon [2 ]
机构
[1] Baylor Scott & White All St Med Ctr, Dept Med, Ft Worth, TX USA
[2] Baylor Scott & White All St Med Ctr, Dept Emergency Med, Ft Worth, TX 76104 USA
[3] Baylor Scott & White All St Med Ctr, Annette C & Harold C Simmons Transplant Inst, Div Hepatol, Ft Worth, TX USA
来源
AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2023年 / 72卷
关键词
Flood syndrome; Cirrhosis; Hernia; Ascites; Transjugular intrahepatic portosystemic shunt; Peritoneal; Infection; Wound care; UMBILICAL HERNIAS; CIRRHOSIS;
D O I
10.1016/j.ajem.2023.07.038
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
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.(c) 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码:223e5 / 223e6
页数:2
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