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洪水综合征:肝硬化患者脐疝的一种罕见致命并发症。

Flood Syndrome: A Rare and Fatal Complication of Umbilical Hernia in Liver Cirrhosis.

作者信息

Sheikh Muhammad Mubbashir, Siraj Bakhtawer, Fatima Faraeha, Ehsan Hamid, Shahid Muhammad Hassaan

机构信息

Oncology, Northwestern University Feinberg School of Medicine, Chicago, USA.

Internal Medicine, Einstein Medical Center Philadelphia, Philadelphia, USA.

出版信息

Cureus. 2020 Aug 21;12(8):e9915. doi: 10.7759/cureus.9915.

DOI:10.7759/cureus.9915
PMID:32968577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7505645/
Abstract

Flood syndrome, first reported in 1961 by Frank B Flood, refers to spontaneous umbilical hernia rupture followed by a sudden rush of ascitic fluid. It is a rare sequela in the setting of refractory ascites and liver cirrhosis. Clues to impending rupture include color changes, ulceration, or necrosis over the umbilical hernia that warrants urgent surgical intervention. In this report, we present a unique case of Flood syndrome in a patient with decompensated cirrhosis and umbilical hernia. The patient underwent urgent umbilical herniorrhaphy without mesh; even though adequate postoperative management of ascites was performed, the patient still developed other comorbidities.

摘要

弗拉德综合征由弗兰克·B·弗拉德于1961年首次报道,指自发性脐疝破裂后腹水突然涌出。它是难治性腹水和肝硬化情况下的一种罕见后遗症。脐疝即将破裂的线索包括颜色改变、溃疡或坏死,这需要紧急手术干预。在本报告中,我们介绍了一例失代偿期肝硬化合并脐疝患者的弗拉德综合征罕见病例。该患者接受了无补片的紧急脐疝修补术;尽管术后对腹水进行了充分管理,但患者仍出现了其他合并症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bbe/7505645/5305e38476b0/cureus-0012-00000009915-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bbe/7505645/5305e38476b0/cureus-0012-00000009915-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bbe/7505645/5305e38476b0/cureus-0012-00000009915-i01.jpg

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Flood Syndrome: Endovascular management of spontaneous rupture of an umbilical hernia due to long-standing ascites - A case report.脐疝自发性破裂并腹水导致的 Flood 综合征:血管内治疗-病例报告。
J Radiol Case Rep. 2023 Aug 31;17(8):29-37. doi: 10.3941/jrcr.v17i8.4884. eCollection 2023 Aug.
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Incarcerated umbilical hernia in a patient with cirrhotic ascites in combination with chronic lymphocytic leukemia: a case report.

本文引用的文献

1
Factors Associated With Long-term Outcomes of Umbilical Hernia Repair.脐疝修补术长期预后的相关因素
JAMA Surg. 2017 May 1;152(5):461-466. doi: 10.1001/jamasurg.2016.5052.
2
Successful surgical management of ruptured umbilical hernias in cirrhotic patients.肝硬化患者脐疝破裂的成功手术治疗
World J Gastroenterol. 2015 Mar 14;21(10):3109-13. doi: 10.3748/wjg.v21.i10.3109.
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Laparoscopic umbilical hernia repair in a cirrhotic patient with a peritoneovenous shunt.肝硬化患者合并腹膜静脉分流术的腹腔镜脐疝修补术
肝硬化腹水合并慢性淋巴细胞白血病患者的嵌顿性脐疝:一例报告。
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Flood Syndrome.洪水综合征
Gastroenterology Res. 2022 Aug;15(4):217-224. doi: 10.14740/gr1508. Epub 2022 Aug 23.
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Management of umbilical hernias in patients with ascites: development of a nomogram to predict mortality.腹水患者脐疝的管理:用于预测死亡率的列线图的开发
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Outcome of sublay mesh repair in non-complicated umbilical hernia with liver cirrhosis and ascites.肝硬变合并腹水的非复杂性脐疝下置补片修补术的结果。
Int J Surg. 2014;12(2):181-5. doi: 10.1016/j.ijsu.2013.12.009. Epub 2013 Dec 28.
6
Emergency hernia repair in cirrhotic patients with ascites.肝硬化腹水患者的急诊疝修补术。
J Trauma Acute Care Surg. 2013 Sep;75(3):404-9. doi: 10.1097/TA.0b013e31829e2313.
7
Umbilical hernia management during liver transplantation.脐疝在肝移植中的处理。
Hernia. 2013 Aug;17(4):515-9. doi: 10.1007/s10029-013-1131-6. Epub 2013 Jun 23.
8
Management of umbilical hernia complicated with liver cirrhosis: an advocate of early and elective herniorrhaphy.处理肝硬化合并脐疝:提倡早期和选择性疝修补术。
Dig Liver Dis. 2011 Dec;43(12):991-5. doi: 10.1016/j.dld.2011.07.015. Epub 2011 Aug 26.
9
A prospective study on elective umbilical hernia repair in patients with liver cirrhosis and ascites.前瞻性研究肝硬化伴腹水患者择期行脐疝修补术。
Surgery. 2011 Sep;150(3):542-6. doi: 10.1016/j.surg.2011.02.026. Epub 2011 May 31.
10
Umbilical hernia repair in the presence of cirrhosis and ascites: results of a survey and review of the literature.肝硬化和腹水患者的脐疝修补术:一项调查结果及文献综述
Hernia. 2009 Oct;13(5):461-8. doi: 10.1007/s10029-009-0535-9. Epub 2009 Aug 4.