Nguyen Emilie T, Tudtud-Hans Leah A
Radiology resident in the Department of Diagnostic Imaging at the Los Angeles Medical Center in CA.
Associate Chair for Continuing Medical Education and an Associate Professor of Medicine at the Loma Linda University School of Medicine in CA.
Perm J. 2017;21:16-152. doi: 10.7812/TPP/16-152.
We report a rare case of Flood syndrome, which is a spontaneous rupture of an umbilical hernia.
A 42-year-old man with decompensated hepatitis C and alcoholic cirrhosis complicated by ascites and esophageal varices presented with 1 day of ascitic fluid drainage after rupture of a preexisting umbilical hernia associated with diffuse abdominal pain and tenderness. A pigtail drain was placed in the right upper abdominal quadrant to decrease fluid drainage from the abdominal wall defect, allowing it to heal naturally.
The spontaneous rupture of an umbilical hernia in our patient highlights a rare complication with high mortality rates and stresses the challenge of treatment that falls in the area between medical and surgical management.
我们报告一例罕见的弗拉德综合征病例，即脐疝自发性破裂。
一名42岁男性，患有失代偿期丙型肝炎和酒精性肝硬化，并发腹水和食管静脉曲张，在原有脐疝破裂后出现弥漫性腹痛和压痛，并进行了1天的腹水引流。在右上腹象限放置了一根猪尾引流管，以减少腹壁缺损处的液体引流，使其自然愈合。
我们患者的脐疝自发性破裂突出了一种罕见的并发症，死亡率很高，并强调了介于药物治疗和手术治疗之间的治疗挑战。
