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[一名肝硬化患者出现大网膜突出伴脐部液体渗漏]

[Protruding omentum with umbilical fluid leakage in a patient with liver cirrhosis].

作者信息

Jeuken Ralph M, Broos Pieter P H L, Belgers Eric H J

机构信息

Zuyderland Medisch Centrum, afd. Chirurgie, Heerlen.

Contact: Ralph M. Jeuken (

出版信息

Ned Tijdschr Geneeskd. 2020 Apr 30;164:D4716.

Abstract

A 57 year old woman with a history of liver cirrhosis and ascites presented with serous exudate spontaneously leaking from a ruptured umbilical hernia, also known as Flood syndrome. This syndrome is a rare complication of decompensated liver cirrhosis and is associated with high mortality. In this specific case, there was also omentum protruding through the umbilical hernia which limited the outflow of ascites. Patient was successfully treated with antibiotics and consecutive open primary hernia repair without mesh implantation.

摘要

一名有肝硬化和腹水病史的57岁女性,出现浆液性渗出液自破裂的脐疝自发渗漏,即所谓的弗拉德综合征。该综合征是失代偿期肝硬化的一种罕见并发症,且与高死亡率相关。在这个特定病例中,还有大网膜通过脐疝突出,这限制了腹水的流出。患者通过使用抗生素及连续进行开放性一期疝修补术(未植入补片)获得成功治疗。

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